HomeMy WebLinkAbout0084681-Plumbing (dishwasher) � CITY OF OSHKOSH No 84681
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1202 E NEW YORK AVE Owner JOSEPH D MCILREE Create Date 03/14/2001
Contractor RAPID SOFT LLC Category 410-Residential-Interior Plan
Bathtub Shower EjectoNGrind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrIWst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher 1 Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink ice Maker
Use/Nature eplace dishwasher for Sears.'Customer to take care of electria
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $500.00 Plan Approval $0.00 Permit Fees $20.00
Issued By r� Date 03/14/2001
� Permit Voided�
In the performance of this work,I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOvmer
Address P.O.BOX4052 APPLETON WI 54915 -0052 Telephone Number 920-757-6432
� City of Oshkosh
Division of Inspection Services
� 215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
�O H Office 920-236-5050
oN rHe wnrea Fax 920-236-5084
Electric Installation Verification
I (We) � �c �L�=�-�
(print homeowner(s)name)
the homeowner(s) of � Z� Z `� - !�'�� ����
(address where work is to be performed)
accept the responsibility for performing the electrical work as stated below for the property listed
above.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. E
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding/ soffit installation. Note: New Service
Entrance Cables will require a separate permit.
�, Reconnection or new circuit for other permanently wired appliances/fixtures.
Other
The value of this work is $ '
I hereby verify this work will be performed by me and further verify the reconnection/
installation will be done in compliance with manufacturer and Electric code requirements.
�'- 3— D/ ;
meowner(s) Signature (Date)
(►N') 2��- �7�3 U �T u�s �W E a �F�� A.M � �-�o,�n� (�-�� 2�S- l�'� ;
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