HomeMy WebLinkAbout2003-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob,Address 1235 WALNUT ST
Contractor SOPER PLUMBING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LISA M TATONETTI
Category 410 - Residential-Interior
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/I/Vst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
1 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101952
Create Date 06/04/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Hook-up new dishwasher.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$400.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
$20.00
Date
06/04/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number
426-2151
OSHKOSH
ON THE WATER
Job Address 1235 WALNUT ST
Contractor SOPER PLUMBING
CITY OF OSHKOSH No 101952
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LISA M TATONETTI Create Date 06/04/2003
Category 410- Residential-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext GreaseTrap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature SFPJ Hook-up new dishwasher.
of Work
Sanitary Sewer
Storm Sewer
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Valuation $400,00 Plan Approval $0.00 Permit Fees $20.00
Issued By ~
[] Permit Voided
Date 06/04/2003
In the performance of this work, I agree~o, perform all work pursuant to rules governing the described construction.
Signature,~ ~ ~.~--~ ~....---~' Date ~' -_~--~¢~ ~
y c-,,~ -~ ' ~J-/~ AgenFOwner
Address 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O/HKO/H
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 permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account [~
JobAddress /a,/..ffq~- F~/o~-~'f7 Value(Includinglaborandmaterials) .~tt~,d~_-P
Owner /('f Y~'_~7~e,,~-'f'T7 Contractor ~ ~-~-~gt.~
~]Single Family l--]Duplex [-]Multi-Family [~Reatal [-~Commercial
[-]Industrial
Number of Fixtures:
Bathtub Lndry Standp Dent. Opm-.
Whirlpool Disposal Dip Well
Lavatory Dishwasher // Drink Ftn
Toilet Sump Pump Wait. St.
Res. Sink Ejector/Grind Ice Chest
Bar Sink Water Softner Exam Sink
Water Heater Local Waste Sculry Sink
D Gas Q Elect D pwrVnt Clothes Wshr Hand Sink
Shower Bidet F Prep Sink
Floor Drain Beer Tap Serv Sink
Lndry Tray Classrm Sink lnt Grease Trap
Lab Sink Surgeons Sink Ext Grease Trap
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
Use / Nature of Work
Size
Sanitary Sewer
Storm Sewer
Water Service
Material
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
Ice Maker
Site Drain
Roof Drain
Standp Ree
OR [-]Electric Installation Verification form attached
(If Replacement)
Type # Conn. Type
3/02