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HomeMy WebLinkAbout2013-Plumbing (water softener) � � CITY OF OSHKOSH No �ss255 ' t OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 453 SUNNYBROOK DR Owner MATTHEW A/DANIELLE K ZIEGLER Create Date 06/18l2013 Contractor CULLIGAN WATER CONDITIONING Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector 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 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 Make� 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 �SFR/water softener install of Work '"debit acct*"* Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1622760000 Valuation $450.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided; Issued By �ly� Date 06/18/2013 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 authoriry 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 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. 06/18/2013 11:27 19209225822 CULLIGAN PAGE 01/02 O WA'�`ER QUALITY IlV,[�R.OVEMENT, INC. DSA: CCiLLIGAN W,A,TER CON�IfilONING 4�5 Pnnspect Avcnue-North Fond du Lac,Vvi 54937-1498 Phone: Fond du�ac 920/922-4654 • Oshkosh 920/235-1490 Neenah-Mcnasha 920l7Z2-567� • $randon-Waupun 920/324-4640 FACSIMII,E TKANSMISS�ON COVER SHE�T AT�'ENTION: FIRM: FAX�: �92(�j_2'���.e �O�' CULUGAN WATER CONDIT10N1Na N. FONO DU UIC,WI 54937-1498 Me�.sage or Special instructions: Numhr..r��f R►g��s liein�Scnt(inc�h.�di�t�thiv Sheet) � Our Fax#920-922-5822 (Our Fax is/�,uto AnswerNoice Capable) if there is a problem with or question about lhis vansmission,picase contact the sender at our business office 920/922-4654 r�` � BESTJIL;NTiAL, C�)MMEI�CtAT., IND�1�'7'RIAL WATFR CQNDITJC)NINC, FRUDi.TC�'S AN'L)SEftViCES 06/18/2013 11:27 19209225822 CULLIGAN PAGE 02/02 . ;:�� �� ��icv orosi��:as�► � -����°.' � � - s,,:� Iiispectlon Servfces�Dlti�fsiofi!': ;:, 1i.0 �3ox I l30 � . .�� `� ��., .:, ; Oslil<osh,1YI S4g03-!130 �. ' ' � ` "� � � ;. ?��` �1'li�one:�(9l0) Z3G-5050 . 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