HomeMy WebLinkAbout0091777-Plumbing (dishwasher) i
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� � CITY OF OSHKOSH No 91777 �
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OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD �
ON THE WATER '�
Job Address 218 W MELVIN AVE Owner JOHN E/MARY C MACKOWSKI Create Date 12/11/2001 t
Contractor RAPID SOFT LLC Category 410-Residential-Interior Plan
Bathtub Shower Ejector/Grind 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 Flr/Wst 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 FR/Install dishwasher. *Homeowner EIV form attached.
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
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Valuation $600.00 Plan Approval $0.00 Permit Fees $20.00
Issued By ��n/� Date 12/11/2001
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� Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address P.O.BOX 4052 APPLETON WI 54915 -0052 Telephone Number 920-757-6432
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��HKOSH PLUMBtNG PER�itIT -A�CATION AND RECQRD
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4att�ub Shawsr '�IGrtnd Dlp Wbp F Pnp Sir�c Q�Orain
5fl�iripooi Floor�atn YVa�Sc�Ner D�MNt Pbt Serv Sink Soda Dkp
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'c�st Lndry Stndp Clotlws W�hr k�t�frst FlrMl�t Slnk Mt C�Yrap
�FS.SWt Disposal Bid�t Exa�a SMk CabcA Bssin Ext Gts�s�Tap
f.�r Sink �r � Hs�r Tap Sculry Sink Wash F6�
"f.abr Fleater SumP�P D�rrt.Cpsr. tiand�nic W�
!iif�Drsin C1assRn Sink Lab Sink Plasbr Sink �P�
°i.ao1 Drain Brs�krm Sink S�srili�r str�p�an.3lnk ta Wlar
111nsMature
;if Work �i-� .S�'�: � �- t�tJ- �� Se= ��.S C c� s �s.�c r
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b ft�e perionr�ar�e d!Ms work i apree to ps�fotm a�wotit pivauant to rurs gotiwf�ifg the d�Ibsd coe�lrudion.
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f� tipy 24 01 08:40a Code Enforcement 920-236-5084 p, p
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� CityofOshlcosh
� Divisio�ofinspcction Services
2t5 Cbutch Avenue
PO Sox I I30
Oshkoyh WI 5�903-11}0
� ORce 9:0-236-5050
oti r��c wn c Faz 920.236-SOBd
Etectric I taIlation Veritication
t(we) I'� o(tC�t,�l (t'- c,� nr�
(print hom oe wner(s)name)
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the homeowner(s)of �1 � � (�{ Q j 1/( N � �
(address where work is to be performeti)
accept the responsibility for performing the electrical work as stated belov�r 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.
.__ Reconnection or new circuit for replacement Electric Water Heater.
Reconneetion of the Service Entranec Cable,Meter Box,alterations to recepiacles
and lighting fixtures due to siding/soffit instal lation. Note: New Service
Entrance Cables will require a separate permit. `
� Reconnecrion or new circuit for other permanently wired app]iances/fixtures. ;
Other
The value of this work is$ � C�
_ �
I hereby verify this work will be perfonmed by me and furlher verify the reconnection/
instalIation will be done in compiiance with manufactt�rer and Electric code requirements.
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I�omeo r(s)Signature (Date}