HomeMy WebLinkAbout0102176-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 2207 WHITE SWAN DR
Contractor RAPID SOFT LLC
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 1
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MR/MRS GHASSAN MAJDALANI
Category 410 - Residential-Interior
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 Shamp Sink 0
CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 102176
Create Date 06/13/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/Replace dishwasher for Sears. *EIV form from homeowner.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$915.00 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
06/13/2003
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 P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number
920-757-6432
JUN 1 2 2005
Ci~ of Oshkosh
tns~tion Service~ Division
P O Box 1t30
Oshkosh, WI 54903-113O
Phone: (920) 236-5050 ' '
:ax: (9 o) z 6- os4 - D£PAt?TMENT OF
COMMUNITy D£V£LOPMENT
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 p~fformauee of which all, pasties.hereto agr~ to and ar~ bound by said statutes,
· Application(s) and fee(s) can be brought to City Halt, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal petit fee, which ever is greater.
OR
If you ar.e (t eq.ntractor varti¢it~ating in the Permit F¢¢ Account .System and haw adequate funds, check here
if You want this P,ro¢,ess~d th~°ugh your account ~
Job Address ,,2.,~o'7 cpa/,~ .C,~, ..~,~. Value 0,c~a~s ~ a~ ~) ~/~ Date ~ ....
Owaer ~ i Co.~ctor ~-'~~ ~ ~ ,
~gle rami~ DDupiex DMu.~ramily ~entM ~o~ereiM ~ndus~
Number of Fixtares:
Baahtub Lndry Stamp , ...... ~ent. Oper. $~ ~nk
~ifl~l ~l ~p Well , , Fk~ S~k
~va~ .... ~sh~ [(' ,~ ', ~nk Fm ...........
Wail St W~
Toil~ Su~ ~ ......
Ud~l
~. Sink , ~j~r/~d lc~ Ch~ .....
~ S~ Wa~ ~ ,, ~ Sink .....
Wa~ ~ ~1 Waste ...... 5c~ Sink ........
~ ~ .... B~ Tap ~ S~k
~ T~y ~ S~k , Iht ~ T~p
~ Si~ S~s Sink , Ext ~ T~p
P~ S~k ,, B~ Sink
Electric Contractor ....
Use / Nature of Work
Sa~iau7 Sewer
Water Service
....... O} .[~Eiectric Installation Verifieati~n farm attached · ~ - (If
Material
T # Conr~ TI~e
Electric Installation Verification
(address wh~re work i~ to b~ performed)
accept the responsibility for performing the electr/cal-work as stated below for the property listed
above.
The nature of the work consists 0f: (Check One or Describe the Nature of Work)
_ Reconnect~on or new carcmt for replacement Heating Plant and/or MC Condenser.
~ Reconnection or new c/rcuit for replacement Electric Water Heater.
"-- Rec°rmecti°n°ftheServiceEnlxanccCablc, Mct~rBox, altcrations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables wilt require a separate permit.
R^,e, eonnection or new circuit for other permanently wired appliances / fixtures
The value of this work is $
I hereby vehfy this wonk will be p~rformed by me and further verify the reconnention /
installation will be done in compliance with manufacturer and Electric code requirements.
(Date)