HomeMy WebLinkAbout0154887-Plumbing (kitchen sink & dishwasher) � CITY OF OSHKOSH No �54ss�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 W 9TH AVE Owner LINDAA WOKOSIN Create Date 04/01/2013
Contractor DRUCKS PLUMBING&HEATING CO INC Category 412-Res-Interior(New/Relocated 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. p
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 Serv 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/installing new kitchen sink and dishwasher
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0605840000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �
Issued By •Jr.� Date 04/OU2013
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
AgenUOwner
Address 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654
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.
-29-2013 12:19P FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1
Clty of Oshkosh .
[nspcction Services Divtslon �
� P 0 Box 1130 ' �
� Oshkosh.W154903-1130
�'lione:(920)236-SOSO •
Fax:(920)236-5084
• ATER
Plumbing Permit Application
I hereby appfy for a permIt to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
• Application(s)and fee(s)can bc brought to City Hall,Room 205 or mailed to Inspcction Serviees,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)witl result in fees being doubled or$100.00 plus the normal permlt fee,which
ever is greater.
OR '
I�vou are a eonlraclor narllclnallnr ln Ihe Permi! Fee Accounl Svs�em and have adequate funds. check here
if vou want jhts nrocessed lhrough vour account (�l
t*Advisory-For applicable projects, an Electricai InstaIlation Yerification(EI�fotm, signed by the Electzical
Contractor or Homeowner(for installations aIlowed to be performed by the homeowner)mnst be rnbmitted
with the permit application. Applications submitted without an EN when snch is reqnired, wiII not be
processed for Permit Issuaace aad will be retnrned for completion.
Job Address �a-0 c.J `��h �A�ASL V8I118(Including lebor and moterinle) 3bOZOOO � Date 3 �9��3
r Li►-.� � �b�c.osr� Coatractor �y�c�c-s -p�,,,,,,,,4,,,,,.q
ingle Family ❑Duplex ❑Multl-Famfly �Rental ❑Commercl �Industrfal
Number of Fixtures:
Bathmb Sump Pump Plester Sink RooCDrnln
Shower Sen.Sump/Pump Scullery Sink Sodn Disp
Whlrlpoo! Water SoRener Servlce Sink CofFee Mla
Lav�tory Stendpipe Rx 5hamp Slnk Site Dnin
Toilel aarnge FD Surewns Sink Waltrs Sm .
Kit Sink _� Local Waate Steril¢er ice Chat
Dlsposel Her Sink RP7,Vnlve Comm Ice Mefcu
Dishwasher � Breakrm Sin�c BidU lnt C3rwe Trap
Floor Dr�in Clnurtn Sink Urinn! Fxt Ci�ase Tnp
Hose B(bb P,xnm Slnk Beer Tap Bye Wai6 Stn
Water Heater F Prep Sink Dipper Welt Deduct Mekr .
D Gea O E�xt�PwrVnt Floor Sink Drink Fntri Wtr Sewer Mtr
Ciotlw Wshr Hand Sin� Wmh Fntn WU Us�ge Mtr
Lndry Tny Lab Sink Cntch Basin Misc PixWrq
�� ,
Electr�c Contractor(for projects not requiring an EIV Form)
Use/NAture of Work
Size Material Type , # Conn.Type
Sanitary Sewer �
Storm Sewer
Water Service
06/09