HomeMy WebLinkAbout0102174-Plumbing (dishwasher)OSHKOSH
ON THE WATER
,Job Address 1100 HERITAGE TRL
Contractor RAPID SOFT LLC
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 BRIAN S/LISA M HAAG
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/Wst 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 102174
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.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$450.00 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
Ch'y of Oshkosh
Inspection Services Division
?OBox 1130
Oshkosh, WI 54903-I 130
Phone: (920) 236-5050
Fax: (920) 236-5084
ECE VED
JUN 1 2 2003
DEPARTMENT OF
Plumbing
I hereby apply for a ptmnit ~o do n.tl install the following plumbing on the pr~m~ises hereinafter d~sedbod, the work to conform to the
Wisco~in State Plumbing Code, in the performance of which at! parties.hereto agree to and are bound by said statutes.
Application(s) and fee(s) can b~ brought to City Hall, Room 205 or mailed ~o Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees beillg doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you a~e a contractor t~artici~atin£ ,in the Pegmit Fee Ac¢ou~tt System ,and,have adequate funds, check her~
if ypu want this processed through, your account N
,lob Address //~ O /-/~-,'-~f c- 7~r. Value (t~d ~1 ~-°O
Owner , ~ , C0n~c~r ~
~e Fami~ ~upl~ ~Muifi-Fa~ly ~Ren~ ~ommer~
Date
~-]lndustFial
Number of Fixtu~:
W~ ~ ~1 Wastc ~U~ ~nk ~ D~sp
F~ ~in
~b Sink
' S~s Sink Ext ~ T~ S~ R~
PI~ Sink B~ S~k
Electric Contractor
Use / Nature of Work
t ~- ~ ~.....dc..3, OR /'F~Ele~r~c Install&tion Verifleatidn form attached
Storm Sewer
Water Sen4ce
"Size' ' ' Matcrial .... Type # Corm, Type
Sanitary S~wer