HomeMy WebLinkAbout0158578-Plumbing (dishwasher) � CITY OF OSHKOSH No �5ss�s
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1244 JACKSON ST Owner MICHAEL J ROSENBERG Create Date 11/04/2013
Contractor L.C. PLUMBING INC. _ _ Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch
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
Whiripool 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. 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 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 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/replacing dishwasher
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer .
Water Service
Parcel Id#
1500190000
Valuation $200.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
issued By �� �"C'' . Date 11/04/2013
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 N7012 STATE ROAD 49 FREEMONT WI 54940 -8529 Telephone Number (920)867-5051
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.
Fabisch, Jerry T.
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Sunday, November 03, 2013 4:23 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERNIIT APPLICATION
Date:l l/3/2013 4:23:00 PM
Permit Fee Account System: YES
Job Address: 1244 Jackson St
Owner: Mike Rosenberg
Contractor: LC PLumbing Inc
Use Category: Single Family
FIXTURES
Bathtub: Sump Pump: Plaster Roof
Sink: Drain:
Shower: San. Scullery Soda
Sump/Pump: Sink: Disp:
Whirlpool• water Service Coffee
' Softener: Sink: Mkr:
Lavatory: Standpipe Shamp Site
Rec: Sink: Drain:
Toilet: Garage FD: Surgeons Waitrs
Sink: Stn:
Kit Sink: Local Waste: Sterilizer: Ice Chest:
Comm
Disposal: Bar Sink: �l�e. Ice
' Maker:
Breakrm Int
Dishwasher: 1 Sink• Bidet: Grease
� Trap:
Floor Classrm Ext
Drain: Sink: Urinal: Grease
Trap:
Hose Bibb: Exam Sink: Beer Eye Wash
Tap: Stn:
Water F Prep Sink• Dipper Deduct
Heater: ' Well: Meter:
i
Drink wtr
Floor Sink: Fntn• Sewer
' Mtr:
Clothes Wash Wtr
Wshr: Hand Sink: Fntn: Usage
Mtr:
Lndry Lab Sink: Catch Misc
Tray: Basin: Fiztures:
*USE/NATURE OF WORK replace
*VALUE 200.00
ELECTRIC CONTRACTOR
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
2