HomeMy WebLinkAbout0157482-Plumbing (sink, disposal & dishwasher) /�"� CITY OF OSHKOSH No 157482
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 833 WINDWARD CT Owner MICHAEL J/TAMARA L THOMAS Create Date 08/28/2013
Contractor WORKS 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 RP2 Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 FldWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 1 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/install kitchen sink,disposal and dishwasher
of Work
'ck#10647*•
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1520080000
Valuation $600.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'I
Issued By �ht Date 08/30/2013
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 PO BOX 510732 NEW BERLIN WI 53151 -0000 Telephone Number 262-893-9047
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 O Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone:(920)236-5050 O HKO H
Fax:(920)236-5084
ON THF WATFR
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the
Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes.
� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which
ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account System and have adeguate funds check here
if you want this processed throuph vour account n
**Advisory-For applicable projects,an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit applicadon. Applications sabmitted withont an EIV when snch is reqnired, will not be
processed for Permit Issnance and will be retnmed for completion.
Job Address ��� I N��V�/�-l� L,� VA�UC(Including labor and materials) Q�•(�� Date '2 `r�
Owner M!G}��AE1,�+Ic�MAS Contractor U��Rvt 1
�]Single Family ❑Duplea ❑Multi-Family ❑Rental ❑Comme 'al ❑Industrial
Number of Fiztures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee M1Q
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Sfi
Kit Sink � I,ocal Waste Sterilizer Ice Chest
Disposal � Baz Sink RPZ Valve Comm Ice Maker
Dishwasher � Breakrm Sink Bidet Int Grease Trap
Floor Drai❑ Classrm Sink Unnal Ext Grease Trap
Hose Bibb Exam Sink Beer Tap Eye Wash Sfi
Water Heater F Prep Sink Dipper Well Deduct Meter
❑Gas C7 Elect�PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr
Clothes Wshr Hand Sink Wash Fnm Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
/�1,�l�/ . �✓1 i� �� =��-lX�
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work rnl�-f-p-Il k,�-f�Ff�r�l SJnI�, DIS po��. �is rh-v�tsk�-�
Size Material Type # Conn.Type
Sanitary Sewer ]�,ECEIVED
Storm Sewer
water Service AU G 2 9 2013
DEPARTjt£!T OF
CO>1>tU\I?Y DE�'ELOP�fEVT
INSPECTIO�SER�'►CES DI�'1510.'�1
06/09