HomeMy WebLinkAbout2003-Plumbing (dishwasher)OSHKOSH
ON THE WATER
.lob Address 2822 RUSCHFIELD 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 TY R/REBECCA J SHIPPEE
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 102650
Create Date 07/07/2003
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 #
$810.00 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
07/07/2003
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 et' Oshkosh
Impection Services Divis/on
P OBox 1130
Oshkosh, WI 54903-H30
Phone: (990) 236-5050
lax= (~20)
Plumbing Permit Application
I hereby apply for a permit to do and/retail the following plumbing on the premises l~reinafler described, the work to conform to the
Wiscom/n State Plumbing Code, in the performance of which ail part/es.hereto agree to and are hound by ,~tid statute.
s Apptioafion(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. 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 participating in the permit ,Fee,Jccount System and haye adequate ,funds, ,check, here
Or ~ou want this z~rocessed through ),our account
Owner "7---~~' 5'~; ,:~/,~ e Contractor
~'ingle Family ~-]Duplex [-]Multi-Family [-']Rental [~]Commercial [~Industrial
Number of Fixtures:
Bathtub Lath~ Standp ......... Dent. Oper. Shamp Sink ........
Whirlpo~l D/aposal , Dip Well _. Fir/War Sink .......
Lavatory Dishwasher /, Drink Fm ........ Catch Basin
To/let .... Sump Pump , , Wait. St. , ,, Wash Ftn
~ Sink Ejector/Grind Ice Chest Urinal .....
iht Sink Warn' Soflner , , Exam Sink ............. Gar Drain
Water Heatm' Local Waste ...... Sculry Sink Soda Di~p ,, ,
D Gas D Elent D PwrVnt Cinthes Wshr , , Band Sink Coffe~ Maker , ,
show~ . Bidet F Prep Si~k lc= Mal~r
F~OOr Drahl BeO' Tap Serv Sink , , Site Drab1
Lndty Tray , Cinsmnm Sink int Grease Trap Roof Drain
Lab Sink Stlrgeons Sink Ext ~ Trap Standp Rec
Phst~r Sink , , Br~akrm Sink
Electric Contractor
Use / Nature of Work , ,
...... Size Material
["]Electric Installation VerificatiOn form attached
(If R~hcemrnt)
Type # Conn. Type
Water Service