HomeMy WebLinkAbout0158665-Plumbing (water softener) 4
/�"� CITY OF OSHKOSH ''
No 158665
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 802 E LINCOLN AVE Owner CHARLES A/PATRICIA NICHOLS LIFE ESTATE Create Date 11/07/2013
Contractor CULLIGAN WATER CONDITIONING Category 410-Residential-Interior 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 Vaive 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 E�ct Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink _ 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature New softener installed ---- - �
of Work
-- 1
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
1106480000
Valuation _ $450.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By Date 11/07/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activiry.
Signature Date
AgenUOwner
Address 405 PROSPECT AVE N FOND DU LAC WI 54937 - 1498 Telephone Number 235-1490 OR 233-05
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specifed otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not perFormed within two business days from the time the project is ready.
NOU-07-2a13 10:36 From:il Pa9e:2
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- [l�ereby apply. for a perfiiit to do and install tlie following plumbin�;o�� tlie prenuses hereinaftec describcd, the work to cnnform to the
: Wisconsin State;Pl�unbin�Code, in the perCormauce of wliich alt part�es hereto agree to atid are bound by said staeutes.
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Whirlpuul pe11�Oper' 5hnmp 5ink
bispu��l pip Well
I,av:�lury , . FldWst Sink
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Ice Chesc Urinol
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51tiuw�:r �i; Soda bisp
C'lu�hcb Wsl�r FIcnJ Slnk Coll'cc hlakar
(�luur Urnin lli�ol F I�rcp$ink
���Muker
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Size Matetial TYPe 1� Conn.Type
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