HomeMy WebLinkAbout0102297-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 906 E NEW YORKAVE
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 SARAH CLANG
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 102297
Create Date 06/19/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature SFR/New install of dishwasher.
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
$700.00 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
06/19/2003
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
City of Oshkosh
lnsp~on Servic~ Division
POBox 1130
Oshkosh, Wl 5~903-1130
Phon~: (920) 236-5050
Fax: (920) 236-5084
JUN 19
DEPARTMENT OF
I hereby apply for a permit to do and install the following plumbing on the premises hercinaft~ described, the work to conform to the
Wisconsin State Plumbing Cod~, in thc performance of which all. parties.hereto agree to and axe 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
Oshkosh WI 54903-t 128, 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 par~icipattn~ in the permit Fee ACCOUnt System and have adeauate funds, check here
ifl,0u want thi:; processed through Your account ~
, ~.e'. ~ '-' o J Date ~'
Job Address .~'Z-~. ~--~, ~ ~-,~Va-lue (~l~iin~boranan~i~s) , e-'o .o c .
......... Co,= tor , ....
[~mgle Family [~]Dnplex [~Muiti-Family ['-]Rental [~]Commercial [~Industrial
Number of Fixtures:
Ba~amb Lndry Slandp Dent. Op~r. Shar~ Sink .....
Whirlpool Disp~al ..... Dip Welt l~r/Wst Sink
LavatOry Dishwasher ,~, Drink Fin ....... Catch Basin ......
Toilet 5ui~o P~nsp Wail, $~ .....
Ufn~l
Ice Chest ,,,
Res. Si~k , . Ejea'tor/Otlnd .....
Bar Si~,k . . Water Sofmar , . Exam Sink .. ~ Gar Drain _ .
Water Heater Local Waste ~ ~ulty Sink . . Soda Disp ......
U Gas ~ Hiect i3 Pw~nt Clothes Wshr .... Itand Sink Coffee Maker ....
ke MO, et ........
Shower Bidet F Prep Sink
Site Drain ,
Floor Drain ~ Tap ...... Sc~ Sink . .
Roof Drai~
~ T~ay . . Clasc~m Sink ,. ~nt Grease Trap ,
Ext Orease Trap Standp Rec ' ..
Lab Sink Strrgeeas Sink .
plaster Sink B~kim Sink
Sterilizer ......
Electric Contractor
O',R,, [~]Electrtc Installation Verificatio'n form attached
....... (If Replacement)
Material Type