HomeMy WebLinkAbout0104118-Plumbing (dishwasher)OSHKOSH
ON THE WATER
JobAddress 1106ENEWYORKAVE
Contractor RAPID SOFT LLC
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HEIDI LWHEATON
Category 410 - Residential-Interior
No 104118
Create Date 09/11/2003
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0
0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0
0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFR/Install dishwasher for Sears. *EIV form from homeowner.
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Valuation $770.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided
Issued By
Date
09/11/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
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.
Owaer _~_~ ~. fg~ / ~ Coutraetor
~tagle lramny [~uplex [Y']Mulfi.-Famlly [~Reuetl
Number of F'~tures:
Toilet ..... ~ ~
........ Sump ~ Wai~. St W~h 1~
Electric Contractor _ O'R, /[~glectric lusiall~tion Vetifieatida formattaebed
UselNatnreofWork ~ 9/~---/~ t ~'~Z £ /- ~.~j
Electric Installation Verification
(P' homeowner(s) name)
(address where work is to be performed)
accept the responsibility for performing the eleclrical 'work as stated below for the property listed
above.
The nature of the work consists of.' (Che~k One or Describe the Nature of Work)
Reeonneetion or new circuit for replacement Heating Plant and/or A/C Condenser.
- Rec°nnection or new circuit for replacement Electric Water Heater.
_ Reconn~ction oftbe Service Entrance Cable, Meter Box, alt~ations to rec,~tacles
and lighting fixtures due to siding / soffit in.Ctallation. Nole: New Service
Entrance Cables will require a separate permit.
Reeonnection or new circuit for other permanently wired appliances / fixtures.
~ Othcr
The value of this work is $
I hereby verify this work will be performed by me and further verify the reconnection /
installation will be done m compliance '
w~th manufacturer and Electric code requirements.