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Home My WebLink About0105292-Plumbing (dishwasher)OSHKOSH ON THE WATER .lob Address 1910 CLIFFVlEW CT 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 THOMAS/DONNA ALTEPETER Category 410 - Residential-Interior No 105292 Create Date 11/13/2003 Plan 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 Coffee Maker 0 0 CIothesWshr 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 Wash Statn 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 $400.00 Plan Approval $0.00 Permit Fees $20.00 ~ Permit Voided Issued By Date 11/13/2003 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 Oshkosh Inspection Services Division POBox 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax: (920) 236-5084 DF. PART £Nr Plumbing Permit O./I---tKO/H 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 performance of which all parties.hereto agree to and are bound by said statutes. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 11'28, Oshkosh WI 54903-I 128. Commencing work without pen-nit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR /f vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account Job Address /t?/O ('7/.'~C+ro:~'~-J Value (lncludinglaborandmaterials) ~r~-OO Owner / (.,/_~.~/~.t.~r-- Contractor /~_ c.~,.'.~.Yo~'~-,:t~ c [~Single Family F-lDuplex [--]Multi-Family [-]Rental I-]Commercial Date/~ ~ [-]Industrial Number of Fixtures: Bathtub Lndry Standp Dent. (3per. Whirlpool Disposal Dip Well Lavatory Dishwasher ~ Drink Ftn Toilet Sump Pump Wait. St. Res. Sink Ejector/Griod Ice Chest Bar Sink Water Sofmer Exam Sink Water Heater Local Waste Sculry Sink D Gas ~ Elect E PwrVnt Cloth~s Wshr Hand Sink Shower Bidet F Prep Si~k Floor Drain Beer Tap Serv Sink Lndry Tray Classrm Sink Iht Grease Trap Lab Sink Surgeons Sink Ext Grease Trap Plaster Sink Breakrm Sink Sterilizer Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Gar Drain Soda Disp Coffee Maker Ice Maker Site Drain Roof Drain Standp Re~ Electric Contractor Use / Nature of Work Sanitary Sewer Storm Sewer Size Material O-R t~'Electric Installation Verificatidn form attached (If Replacement) T~e ~ Co~. T~e e~', '~'lTa~, ~,4 0~! 08:40a 920-236-5084 (We) Electric Installation Veriticatjon the homeowner(s) of (ad~'eSS x~h~rc Work is to be performed) accept the responsibility for performing the electrical ·work as stated below for the property listed above. The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or ne~v circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrancc Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is $ ,.y~D_ o e} I hereby verify this work will be performed by me and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. ~ '- Homeowner(s) Signatur~e (Date)