HomeMy WebLinkAbout0156401-Plumbing (water softener) � CITY OF OSHKOSH No 156401 ,
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 322 N WESTHAVEN DR Owner JAY R/MARY L TACK Create Date 06/26/2013
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
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 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 1 Hand Sink 0 Urinal 0 Wait.St. p Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink
Hose Bibb 0 Breakrm Sink _ 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/Install water softener
of Work
'*debit acct**
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Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0622230000
Valuation $450.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided.
Issued By J� Date 06/26/2013
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
Agent/Owner
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.
JUN-26-2013 10:55 From:il Paee:2
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�� Git��of Oshkosli �'��
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Inspection Services Divisiofi� ��� �r
P.O �ox 1130 '
� Oshkosh,lV1 5�903-1130 ,
� 1'Itouc: (920) 23G-5050 .
�� Ea�c: (920) 23G-508d � �,f�� L (
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;i- ON THE WA7ER
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Y� �'lu�nb�� Permit A ��ca��on '
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- I laereby app►y for a pe;riiiit to do and inslal( tlie followin�pluntbing on the premises heCe'tnafteC de
- wisconsin Staie�lumbi�ig Code, in d�e pertormance of witich a1!partieg hereto agree to aud are o�und by said st��u eSm to the
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; Job Address _ Va1ue bate �_
;. Owner O.S� Coutractor
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❑,I��dustria�
Nt�n�ber oF F�xtures: ',
Llalhiu�� L,�Jry 91onJp
' Dent.Oper, Shamp Sink
Whirlpuul � bispus�l
Dip Well FldWsi 5ink
lrvrlury � . Ulsli�v�shrr
'I'uilel Drink Ftn Cal¢h Bosin
: 5ump I'unq� Wail,Sl.
It�c.5ink _� �s I?jccl0l'�CilinJ _ Wush rin
,,�., Ice Chcsl Unnal
Uur Sink , Wu1Cl'Svl�Inrr
Ws��cr I Iculur ' .� Cxam 5iuk Cor Droin
�» L.v�rl W�alc
Soulry Sink sodo vis
Jhuwcr '+�I; p
C'luihcs Wslu I land 5ink
I�luur Urnin . Coffcc Mqker
� lliJe� f Pr��ry Sink
(�iJry'fray ��: 13e�►1'ap Ic�Mok�r
Scrv 5ink 5i�c pr:�in
Is+b 5ink CIJSSrht)ink
� " - In�Grcus��r�� Ituof Drain
I las�cr Sink Surg��un�5����; Ux►Grcrse Trap
StanJp Itcc
Jlcnlizcr �� Ulh�krm;iink
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Use/Nature of Worlc��� � Q Q � ,� � c�
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5i�e Material Type u Coun.Type
Sbnitary Sewer .
S.tnrm Sewer , �; �
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Water Servic� �rr: �O
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