HomeMy WebLinkAbout0154941-Plumbing (water softener) � CITY OF OSHKOSH =
� No 154941
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 339 FOSTER ST Owner TAMELA A JANSEN Create Date 04/04/2013 `
Contractor CULLIGAN WATER CONDITIONING Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller
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 f
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 F
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p �
Toilet 0 Water�oftner 1 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 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 0 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 FR/new water softener installed.
of Work �
t
4
Size Material Type # Conn.Type `
Sanitary Sewer }
Storm Sewer
Water Service
Parcel Id#
0608700200
Valuation $450.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By '��, Date 04/04/2013
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 f
AgenUOwner
Address 405 PROSPECT AVE N FOND DU LAC WI 54937 -1498 Telephone Number 235-1490 OR 233-05
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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04/04/2013 12:48 19209225822 CULLIGAN PAC� 02/02 `
City of Oshkosh � �`,±'�.� ��.y,:.,
: Ii�spection Serviees�Div(sfor�• : .}` +-
P.O Boa 1130
; Oshkash,tivI 54903-I 130 �
' I'N.one:(920)23G-SUSd
:. Fac: (920)23G.SO8� 0 HKC� H�
• ' ' ' ON THE W�TER
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. , I hereby apply for a peritiit to do and instali thc foflowing plurr�bi�ig on thc premises hereinafter dcscribed, the w�rk,to conlorm to the
� WisCOnsi�i State:l'lumbinb C�de, in the perfo�7i�ance of which all perties h¢reto agree to snd are bound by suid statutes,
� 'Job�Address�� 1"D�CQ,� �,_ Va�ue _ ,
nar� y-3 �3
' O.�vncr �OsR . . Contr�cto�� � �.�� � ��1� +J�
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� �S.(ngle rami�y �]�u��, �Multi-�aanily ❑Rental Cbmmercial QIndustriui �
Nurnber otl!�xtures: r.
CSaUilul� LiiJry tilanJp
WIIIfI�)WI � . DIS�7l1�JI ���.��,, � Shamp 5ink
D�p Wcll FINW�t 5ink
I.;IVUtnry Dihliia�SNcr "—�
• Drink Ftn C�ICh 8osin
'I'uilcl . ±.. ti�nnp I'mnp ' Woil.SL ' Wash Pln
.It�.Sink ,;,: . I:j�tiluN(irind _ � Icc Chesl
Uar,tiink URnaI
. Wul�r Sallncr _(,�_ L•�tlm$il�k
'wa tur ncu�cr Gar Drain
''� I.ucnl Wrs�r Sculry Sink
Shuwcr �`� ' Clulh�:s Wshr Sala biap
I IanJ Sink ColTcr Mnk�
I�fuur Urain UWcI
I.n�lry'f�uy . � f I'r�h 5i�k Icc Mak�r
• l��tr 7'np Scrv 51nk 91��brrin
I ib.)ink ''• C.'laysrm Sink
• InlGr�,��a Trap Rtwl'Drain
Pl;�slcr,Sink Surgrnns Slnk
Gal Grcu��Tnp Stnn4 Ita;
,Sf�rllizar . Ilrcukrm 5ink p
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El�ctric Contractvr � >��': �
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Use/Natnre of Work-' � " � ��, o�c�
Sixc Matcrial typc !1 Conn. Type
Sanitary Sewcr
SIOCm SewCr
•::;,.,
. �Y
Water Service � ';;�.;
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Cliecic/rere if vou tvd�rl lhis processc.�i!lhrough yottr ac�cau�rt� y �
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