HomeMy WebLinkAbout157109 Plumbing (water softener) � CITY OF OSHKOSH No 157109
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 919 EVANS ST Owner DAVID/NANCY TOMASCHEFSKI Create Date 08/OS/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 Drein 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 FIrNVst Sink 0 Bidet 0 Site Drain 0 Misc. 0
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 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
UselNature SFR/install water softener �1
of Work I
"debit acct'* �'
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1106610000
Valuation $450.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By ��r� Date 08/08/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 405 PROSPECT AVE N FOND DU LAC WI 54937 -1498 Telephone Number 235-1490 OR 233-05
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing, Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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AUG-07-2013 16:�3 From: 11 Paae:2
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� City of Oslikosl� :`s�' ,,,,�:,,, �
;Ttispection Services Divi3ioil� � ;,� �
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Osl�lcush, �YI 54903-1130
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' �liereby apply for a pet'diit to do and inst�ll tlie following ptu�nbing un the premises uereina�ter described, the work t�conl'w�m to the
, Wisconsin Scate:_Pl�unbing C�dc, in the performance ofwi�ich all parcies hereto agree to at�d are bouitd by said statutes.
< Jo.C� Add�• s �r�, Value `�c� � Dflte�j'�g-\�_
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�?�hlub _ L.iiJry�ianJp Dent.Oper. Shernp 5iuk
K'liirlpuul � Dispus�l Dip Wcll
rlNWsl 5ink
I.,yvuinry � Dishwusl�cr Drink Fln
Ca�ch easin
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,' �VJICf$ul�lncr _(,�_ L;xorn 5ink
W�t�;r I le•ricr � Gur Orrin
�;''i Lv�:11 Wu�lc Sculry Sink
5liuwcr -k9i; SoJa Disp
Clu�hcx Wsl�r HanJ Sink Colfcc M�ker
I�Ivur Urain UiJu! Fl�rcp 3ink
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La�Jry'1'r�y Ur�r'f';�p $orvSink . SileDrain
L.xb 5ink . ('lussrm link Im Gr��s�'frrp Ruul'DrAin
I'I�s�ur Smk Surgcun�Sink Cxl GruiEO.'Prnp Slandp ltcc
tikh�iliy.�r Ure•rknu 5ink
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Ct�ctric Contr��tor ''�' - '
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Usc/Nature of Worlc� '.� _ 3�' °�
Si�e MAterial Typc # Conn, T �
S�nitary Setivcr ' �
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�ibrm Sewcr �'.
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Watet Service `� .
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Cl�eck here f yoir �v�urt tliis proce.ssed�hl'O�r�/t your ac�vlurf�
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