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HomeMy WebLinkAbout0105062-Plumbing (dishwasher)OSHKOSH ON THE WATER .lob Address 1340 S WESTHAVEN DR 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 MR/MRS WILLARD STOWE Category 410 - Residential-Interior No 105062 Create Date 10/30/2003 Plan 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 0 WaterSoffner 0 DrinkFtn 0 ServSink 0 SodaDisp 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 RPZValve 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye WashStatn 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature SFR/Replace dishwasher for Sears. *EIV form from Homeowner. of Work Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $780.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 10/30/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address P.O. BOX4052 APPLETON WI 54915 - 0052 Telephone Number 920-757-6432 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of O~hkoga Inspection Services Division POBox 1130 O.~h~osh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 Wisconsin Stat~ Plumbing Code, in the performance of which all parties.hereto agm~ to and a~ bound by said statutes. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to lnspeetion Se~ices, PO Box 11'28, Oshkosh Wi 54903-I 128. Commencing work without ~mdt(s) will result in fees being doubled or $100.00 plus the normal l~i'~t fee, which ever is greater. OR If vo~ are a contractor vartici~ating in the Permit Fee Account SFstern and have, adequate funds, check here if you want this orocessed through Four account ~'~ ' Job Address /~?~/o 5..~,j~Ao-~.~ Value Owuer _~o ~, Contractor ~' ~Single Family F-]Duplex i-]Multi-Family E~Rent~! F-]Commerei~l ~-]Industrial Number of Fixture~: Bathtub Lndry Slandp Dent. Oper. Sham9 Sink Whirlpool Disposal Dip Well Flr/Wst Sink Lavatory Dishwasher ~ 10~ink Fm Cash 9aain Toil~ Slm~ Pump ........ Wait. St. Wash F~n R~:~. Sink ....... Eje~:~or/Crtind Ice Chest , , Urinal Bar Sink ....... Wat~ Sofmer ...... Exam Sink ..... Gar Drain Water Heater .... ~ Loc~ Was~ Sculry Sink Soda Di~ D Gas E E~¢ct E PwrVnt ..... "' Clothes Wshr , Hand Sink Coffce Maker Shower Bidet F P~p Si~k Ice Maker Fk~or Drain Beer Tap Serv Sink Site Drain Lmtxy Tray Cia~a'm Sink int Gtose Trap Roof Dmln Lab Sink ....... S0agcens Sink Ext ~ Trap S~andp Rec Pla~er Sink Brcekrm Sink St~licer ....... Electric Contractor O_~ .J~Eleetrie Installation Verifieatidn form attached Use/NatnreofWork ~'~F**e /~,~ ~..c--y ,c~- ~ S,~.S S~.e Material Type # Coan. Type Sanity Sewer Storm Sewer Water Service H~ ~4 ~0! 08:40a Code E~orcement ~ 920-~36-5084 (print home~wner(s) name) -- accept the responsibility for performing the electrical-work as stated below for the property listed above. The nature of the work cons/sts of: (Check One or Describe the Nature of Work) - Reconnecfion or new circuit for replacement Heating Plant and/or A/C Condenser. --- Rec°rmecti°n °r new circuit for replacement Electric Water Heater. _ Reconnection of the Service Entrance Cable, Meter Box, alterations to receplacles and lighting fixtures duc lo siding / soffit installation. Note: New Service '~-~ Entrance Cables will require a separate permit. ~:':"- Rec°nnection or new circuit forotherpcrmanentlywircdappliances/fixturas. Other The value of this work is $__ .~/'~. I hereby verify this work will be performed by me and further verify the reconnect/on installation will be done in compliance with manufacturer and Electric code requirements. ( ) gnature