HomeMy WebLinkAbout0159214- Plumbing (dishwasher)Eli
OSHKOSH
ON THE WATER
Job Address 912 N LARK
Contractor L.C. PLUMBING INC.
Inspector Jon Mueller
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
No 159214
Owner RAYMOND/BARBARAJ FORES REV FAM TRU: Create Date 01/02/2014
Category 413 - Res -Interior (Replacement Fixtures) Plan
Bathtub
0 Clothes Wshr
0 Classrm Sink
0 Surgeons Sink
0 Roof Drain
0 Deduct Meters
Shower
0 Lndry Tray
0 Exam Sink
0 Sterilizer
0 Soda Disp
0 Wtr Sewer Mtrs
Whirlpool
0 Sump Pump
0 F Prep Sink
0 RPZ Valve
0 Coffee Maker
0 Wtr Usage Mtrs
Lavatory
0 San Sump/Pump
0 Flr/Wst Sink
0 Bidet
0 Site Drain
0 Misc.
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 Sery 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 8FR/ replace dishwasher
of Work
`debit acct"
Valuation
Issued By
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided
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
Parcel Id #
1603120000
Date 01/06/2014
Agent/Owner
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.
0
0
0
0
Wentz, Sandra
From: PLUMBING PERMIT APPLICATION [Permit_App_Plumbing@ci.oshkosh.wi.us]
Sent: Tuesday, December 31, 2013 4:23 PM
To: Inspections, Inspections
Subject: PLUMBING Permit Application
PLUMBING PERMIT APPLICATION
Date:12/31/2013 4:23:11 PM
Permit Fee Account System: YES
Job Address:
912 n lark st
Owner:
Barbara Fores
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:
Fater
Service
Coffee
Softener:
Sink:
Mkr:
Standpipe
Shamp
Site
Lavatory:
Rec:
Sink:
Drain:
Toilet:
Garage FD:
Surgeons
Waitrs
Sink:
Stn:
Kit Sink:
Local Waste:
Sterilizer:
Ice Chest:
Comm
Disposal:
Bar Sink:
Valve:
Ice
Maker:
Int
Dishwasher: 1
Breakrm
Bidet:
Grease
Sink:
Trap:
Floor
Classrm
Ext
Drain:
Sink:
Urinal:
Grease
Trap:
Hose Bibb:
Exam Sink:
Beer
Eye Wash
Tap:
Stn:
Water
Dipper
Deduct
Heater:
F Prep Sink:
Well:
Meter:
1
Floor Sink:
Clothes Hand Sink:
Wshr:
Lndry Lab Sink:
Tray:
*USE / NATURE OF WORK
*VALUE
ELECTRIC CONTRACTOR
Size
Sanitary Sewer
Storm Sewer
Water Service
Drink
Fntn:
Wash
Fntn:
Catch
Basin:
replace "check mailed
200.00
Material
2
Type #
Wtr
Sewer
Mtr:
Wtr
Usage
Mtr:
Misc
Fixtures:
Conn. Type