HomeMy WebLinkAbout0121973-Plumbing (water softener) S
� CITY OF OSHKOSH No 121973
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER'
Job Address 1115 E NEW YORK AVE Owner GERRITT J KLEINHUIZEN Create Date 10/09l2006
Contractor CULLIGAN WATER CONDITIONING Category 410-Residential-Interior Plan
Bathtub Shower Water Softner 1 Wait.St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res.Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink _ Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature FR/INSTALL WATER SOFTNER"debt acct --
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1110130000
Valuation $350.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided,
� — --
Issued By �� Date 10/09/2006
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.
OCT. 9.2006 2�55PM . . CULLIGANiMERMAID OSH ' N0.043 P.1i1
.
. ��� � g ��
City of Osllkosh ��(�(\�
Tnspection Services Divisioa J` - �
P O Rox l 130 �'
Osl�kosh,WI 54903-113�
Pl�one; (92U)236-505U ..-.{
Fax,(920)236-SA84 ) rEi@ �1n'f'd
Plumbing Permit Applicat�on
l h�raby e�JipJy iur a pernlit to do and in.slall the Lollowing plwnbing on lhe preinisas lte��uu►f�cr cl�seribod,t1'ie wurlc tu ennfonn lo tl1e
Wiscunsin State Plumbing Code,in tiio perCormance of whicl�nll pnrties he[Dto�gree lo end are 6ound by said s�a�utos
• Application(s)��d fe�(s)can be brougl�t to City Hall, Rooiu 2U5 or ntailed lo Inspeclion Services, PO [3ox 1128,
Oshkosh Wl 549U3-1128, Ca�runcncing�vo[lc wilhoul perit�i[(s)will i�esult in fces beittg daubled ar�IUU.UII plus tlie
nomiot penuit fee,wliicJt ever is greaLer.
ll:vuu rlr� a cq�tOractoM narriel afi►� in f/ze f'erm'f Fe .�1,eeounl_Svslem_arrd Ita�'� adegunfe_f' r•ic�s .check her�s
i vei wanl ftils p►•ocessed throuQh v�i�� ocev�u��
, � . � � Ql�'Vil�UB(lnclddiP6�nlioi'tlld mnler nle)�� �. � vilte /b-9`'a�
�ob Ad iessl�/f c�1 . -
Owner ��•r�,i_i u�+�,�— Conh�acto�' �'G'`��r
�Singte I�'amily ❑Duplea �]Mulli-X+'�mily Ditental ❑Commerciai [�lndusn�ia!
Numbcr of Fixhires:
pie�oeal ni'Inlc(�ln Cnteh 13ae��� ---..
13ethwl� I ---
Wliu•Ipu�il Diahwael�cr �A�oiL Sl. Waeli L�I,n �_
Sum ��o Icc Cl�oal __�_ Urin�l
LavUlury --- P P ---
'roilel ---•—, C��ealor/Qrind „_ liX1�115ink �„^ GN'Urnin _ .
l�ca.3inlc �
Wnlor SuMer _� 3cul��y Siak Soda Uie�� _ .
bnr�iidc l.aul WARIe ----- I'lar��l 5m1< . ._ . - Cul7i+n M�I<a
Wnter I I�ater . . . Glodi���ahr _ I�f'�o��SiiJ: -- —.-- c'�,�nm�lea Maku
U l3ae u Hla=i u['�vrVn� l�ulol yerv Sink Sl�e prnin __
Shu�var --. 13ecr'I'np hllGrenea'I'rnp LtnoflJt:un _
FlourL7r:�lu __ CI�y�Sink __._._� I:tXlGrcnpa7�rAr .,.T_ Suin�ipRe� ..�
Lnd�y'1'raY 9urganci�3u�k __ . R,P.Z,V�Iv� __ liyo Wneh Sln ,
I.nb tilnlc 13ronkl'm Sink --•,. — Sl�nmp�ulk � WU Sewar Nl�a ...
Plaeler sink _. py�Well ---� FIN\Yel QII�� ,�__ I)�duul hklora
��eril-var — ,-- Floeo albe Wu•Llen�a Mlrx —,^
Min�.
Fixtur+.e _..._— -._,. '�
Clectric Contracto�• �'' UJt ❑Clechic Inst�stll�►liou Ve�tificalion form attach�d
• p E�zeplm:en�rnq
Us�I Natu��e of Worlt �-
� Size Melcrial 'Cype # Conn,TVpe
ScinuurY 5cwer
Swrnt S�wer
Weder Sc�vice
tliat�