HomeMy WebLinkAbout0154557 - Plumbing (kitchen sink/dishwasher) CITY OF OSHKOSH No 154557
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1209 CARR PL Owner CHRISTIAN M LONG/MICHELE L MATUCHESKI Create Date 02/21/2013
Contractor M P KELLY Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap _ 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 1 Local Waste 0 Sculry Sink 0 Drink Ftn _ 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap - 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn - 0
Water Heater 0
Use/Nature SFR/REPLACE KITCHEN SINK AND CONNECT OWNERS DISHWASHER ""check#12579 1
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0804470000
Valuation $1,800.00 Plan Approval _ $0.00 Permit Fees $30:00 ❑ Permit Voided
Issued By (,3 Date 02/26/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City of Oshkosh
Inspection Services Division
PO Box 1130
. Oshkosh,WI 54903-1130 . ., . . . ® '
Phone:(920)236-5050 .
•
1 T��7
Par.(920)236.5084 IJ• iJ[ J1
Plumbing Permit Application
1 hereby apply for a permit to do and install the4bilowing plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all panties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can be brought to City Hell,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permits)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR.
[ • ,re 'a c,, ra , ,i.,'1 tn.: :e 'e r' t F_ : t ou, -.sr- _ . - r. a... . ,ds A,e he .e
if you want this prpeeo ad tl rough.your account
**Advisory-For applicable projects, an Electrical Installation Wori tration(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without tm:El'9'when such is required,will not'be _
processed for Permit In ce . I will be I ,ed f completitm,
Job Addr . _ - ► nay(including labor and materials) ��1.' ` U Date Ji -
-
s tvaer /S f A/' Contractor W
I gIn Family InDuplex Mufti-Family [Rental ❑Commercial ■Industrial
Number of Fixtures:
Bathtub Sump Pump -,..____ Plaster Sink Roof Drain
Shower , Sin.SumeIPnmp Scullery Sink Bads
Whirlpool , ' Water Softener Service Sink Coffee Mkr
Lavatory Standpipe lice Sbamp Sink Site Drain
Toilet Garage FD Surgeons Sink �_ Waitrs Sin
Kit Sink I . Local Wrote Steriliser w_„__ Tee Chest
Disposal _ Bar S ink RP2 Valve Comm lee Mater
Dishwasher , i Brcaknn Sink -Sider bit OreaseTrip
Floor Drain Ct,ssrtn Sink Urinal Ext Grease Trap
Hass Bibb Brant Sink Beer Tap Byie Wash Sin
Water Heater F Prep Sink Dipper Well Deduct Meter
Q Oar p Elect d Pwr'Vnt Floor Sink .Drink Fntn Wit Sewer Mtr
Clothes Wafer Hind Sink Wash Pntn Wit Usago Mtr
Ln dry Tray Lab Sink Catch Basin Miso Fixlores
lectric Contractor(for ro_ jects�not�requ' r g n EX V'Form) }
-
le/Mature of Wo • �� .1. S.____? C' 1 -4 r aC
OH M-1 �jttiti t`t
Size Material Type # Conn.Type
Sanitary Sewer
C
Ol
h -Storm Sewer ' '
till e,/ �
Water Service
06/09