HomeMy WebLinkAbout0158912-Plumbing (dishwasher) � CITY OF OSHKOSH No 158912
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1885 CRESNIEW DR Owner LARRY/CHRISTINE PLOG Create Date 11/26/2013
Contractor PLUMBING EXPERTS _ 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 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. 0
Toiiet 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 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
--- ----- _ __ _— –___
Use/Nature FR/INSTALL DISHWASHER **check#2015
�
of Work I
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1315970000
Valuation $750.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By ��� Date 11/26/2013
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 26345 NORDIC RIDGE DR WIND LAKE WI 53185 -5522 Telephone Number (262)994-5186
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.
r
City of Oshkosh
Inspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone:(920)236-5050 �� ;
Faac:(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 perrnit fee,which
ever is greater.
OR
I�vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds. check here
if you want this processed through your account n
**Advisory-For applicable projects,an Elecdrical Installation Verification(EI�form,signcd by the Electrical
Contrartor or Homeowner(for installations allowed to be perfor,med by the homeowner)must be snbmit#ed
with the permit application. Applications submitted withont aa EIV when sach is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
, j �
w
Job Address ����1/l�-IUl('LJ � VA�UC(Including labor and materials)��� Date I 1 -0�1� I 3
ner �_��,G Contractor � � ��� �l � �
�Single Family ODuple OMulti-Family ORental Commercial DIndustrial
Number of Fiztures:
Bathtub Sump Pump Plaster Sink Roof Drain
Shower San.Sump/Pump Scullery Sink Soda Disp
Whirlpool Water Softener Service Sink Coffee Mkr
Lavatory Standpipe Rec Shamp Sink Site Drain
Toilet Garage FD Surgeons Sink Waitrs Stn
Kit Sink Local Waste Sterilizer Ice Chest
Disposal Bar Sink RPZ Valve Comm Ice Maker
Dishwasher �_ Brealam Sink Bidet [nt Grease Trap
Fioor Drain Classrm Sink Urinal Ext Grease Trap
Hose Bibb Eacam Sink Beer Tap Eye Wash Stn
Water Heater F Prep Sink Dipper Well Deduct Meter
0 Gas 0 Elect 0 PwrVnt Floor Sink Drink Fntn Wh Sewer Mtr
Clothes Wshr Hand Sink Wash Fnfi Wtr Usage Mtr
Lndry Tray Lab Sink Catch Basin Misc Fixtures
Electric Contractor(for projects not requiring an EIV Form)
Use/Nature of Work ���►,��j�c,
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09