HomeMy WebLinkAbout0156630-Plumbing (water softener) � CITY OF OSHKOSH No 156630
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3965 WESTERN DR Owner JASON GEFFERS Create Date 07/10/2013
Contractor CULLIGAN WATER CONDITIONING Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jon Mueller �I
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
Toilet 0 Water Softner 1 Hand Sink 0 Urinal 0 Wait.St. 0 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 SFR/install water softener
of Work
'debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
1262290000
Valuation $450.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By � Date 07/10/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 405 PROSPECT AVE N FOND DU LAC WI 54937 -1498 Telephone Number 235-1490 OR 233-05
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JUL-10-2013 15:42 From:11 Pa9e:2
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; I hereby apply for a pe�itiit to do aud instal!t1�e following plurnbing un tl�e premises hereinft�er described, the work to conl'o„�i to the
Wisconsin State hlumbing Code, in the perfonnauce of wl�ich n11 parties hereto agree to aud are bound by said statut�s.
Job Add�'ess .��1�� ���3(1 �`�' ,
- . — . — - - - Value '�c� AAte,�`1�
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��1 Contrqctur i r
(�Si.ngle �amily �Du}7 ❑Muiti-Ca�����y []����t�l �Cot�unerC�al QL�dustris�l '.
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�Vumber o4'i'ixtures: '
Ualhluh . ��Jry$��iiJp Den�.Oper,
Shemp 5iuk
IVl�irlpuul ' bispus�l Dip Well
�_.., FIdWs�5ink
Irwrtury � • Ulshtvusher
Drink FU� Ca�ch Bagin
'1'uil�i . Swiy�Pump Wpl.l.5L
Wflsh Fln
It�,c,yink ,°yi.; I_1�tit�M/(irinJ � IceChcSl
� UnqA�
13�r Jink `� Wutcr Sulincr ExUm 51nk
` Gar Drrin
Wa1ar I les�cr LuCal Was1e Sculry 5ink SwJo D18
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�Ifuwcr `�; C'Ivlh�^�Wslv n
NanJ Sink Co(1ac Maker
I�IUU�U�alh UiJcl I�Pr�71 Slhk
LnJry'frry ICt Mokcr
- l)ctY 7'ap 5arv Sink
I,:�b 5ink Si��Drain
CIa55rm yl�lk Int Grcus�'!'r�p Ituul�Droin
PI•ralcr Sink �,.,,,. Stu�cun5 link Cx1 Grcqsc�I'ru
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Si�e Material T'ypr # Coun. Type
S�nitnry Sewe� �
Scorm Sewer �:
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Water 5ervice •
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