HomeMy WebLinkAbout0156352-Plumbing (dishwasher) � CITY OF OSHKOSH No 156352
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1732 DOEMEL ST _ Owner MR/MRS FREDRIC E KIMBALL Create Date 06/24/2013
Contractor RAUSCH PLUMBING Category 413-Res-Interior(Replacement 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
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 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures
Kit Sink 0 Standp Rec _ 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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/Dishwasher replacement �
of Work
"*ck#27709""
i
Size Material Type # Conn.Type .
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1514290000
Valuation $113.00 Plan Approval $0.00 Permit Fees
$30.00 ❑ Permit Voided'I
Issued By QL� Date O6/24/2013
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
AgenUOwner
Address 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222
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.
� City of Oshkosh �
Inspection Services Division �
P 0 Box l 130
Oshkcish, WI 54903-1130
Plione: (920)236-5050 OJHKOf�---I
{�ax: (920)236-5084 or.i rHF UinrFR
Plumbing Permit Apptication
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described,the work to confonn to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are�bE�C�IVED es.
• npplication(s)and fee(s)can Ue Urought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI
54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus tl��ppr��q�r}�it fee,which
J IV L U 13
ever is greater.
OR '
���u nre a contractor vartieivatinQ in the. Permit Fee Aceount Svstem and have adeR€��TT��E��p�E���k here #
i1 1�li u ur�t tliis p��ocessed tl��•ou�1?voitr accot�nt I—I INSPECTIO\SER�'10ESD1�'IS10.V
** Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, sigr�ed by the Electrical
Cor.�ractor or Humeo�rier(for installations allowed to be perforrned by the homeowner) must be submitted
witli the pet-nvt application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
,)p�) f�1(1(�I'eSS �7� ����� VaIUC (Including labor and ma rials) � ��� � Date �
O���ncr {V'�v�iL Y-����� Contractor S� ���''� '
(�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Number of Fixtures:
Sum Pum Plaster Sink P.00f Urain
[3alhtub P P
Shc��ccr San.Sump/Pump Scullery Sink �oda Disp
�Vhirlpool Water Softener Service Sink Coffee Mkr
I.a�ator� Standpipe Rec Shamp Sink Sne Drain
Toilct Garage FD _ Surgeons Sink Waitrs Sln
I�ii Sink Local Waste Sterilizer lce Chest
f)i�posal Bar Sink RPZ Valve Comm Ice Maker
Uish�cashcr
_�_ Breakrm Sink Bidet lnt Grease 7'rap
Flo�x Dr�in
Classnn Sink Urinal Ext Grease Trap
llosc I3ibb
Exam Sink Beer Tap Fye Wash Stn
\Vater 1leater
F Prep Sink Dipper Well I?educt Meter _—
Gas I J tilect I_l V��•rVnt Floor Sink Drink Fntn 1�1tr Sewer Mtr
Clolhes\Wshr Hand Sink Wash Fntn �`/tr Usage Mtr *
LncLv"frav Lab Sink Catch Basin Ntisc Fixtures
I;lectt•ic Contractor (for projects not requiring an EIV Form)
(� DO
tisc /Nature of Work I<-2, � f-��iLL �--5�v' �� �
--r
Size Material Type # Conn. Type
�anitary Sewer
Storm Sewer
Water Service
06/�°