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