HomeMy WebLinkAbout0105061 POSHKOSH
ON THE WATER
Job Address 1119 S WESTFIELD ST
Contractor RAPID SOFT LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res, Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
CITY OF OSHKOSH
Create Date
Plan
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HENRY J/SANDRA SCHMIDT
Category 410- Residential-Interior
0 Gar Drain
0 Soda Disp
0 Coffee Maker
0 Iht Grease Trap
0 Ext Grease Trap
0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink
0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink
0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink
0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
0 SculrySink 0 Wash Ftn 0 RPZValve
0 Hand Sink 0 Urinal 0 Eye Wash Statn
0 Plaster Sink 0 Standp Rec 0
0 Surgeons Sink 0 Ice Maker 0
0 Dishwasher I Beer Tap
0 Sump Pump 0 Dent. Oper.
0 Classrm Sink 0 Lab Sink
0 Breakrm Sink 0 Sterilizer
~FR/Replace dishwasher for Sears.
No 105061
10/30/2003
0
0
0
0
0
0
0
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 $650.00 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
Address P.O. BOX 4052
AgenVOwner
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
OCT 2 8 200J
D£PARTI £NT OF
Plumbing Permia p LOPM£ tT
genormonce oz winch a~ pames,heret~ agree to
· ~licaQon(s) ~ f~s) c~ bc ~ou~t m Ci~ H~], R~m 205 or ~il~ to ~fion S~, PO Box I r28,
Os~osh ~ 549034 128. Co~c~g w~k wi~o~ ~t(O ~ll re~lt ~ f~s
noel ~t f~, ~ ev~ ~ ~t~.
O~
If ?ou are a contra,ctor ~artici~qting in the Permit Fee Account Srstem and have adequate funds, check her-
if you want t~is ~rocessed through ~our account ~
Date/O ~,~ ~-~, r
[~]IndustHal
NUmber of Fixtures~
Bathtub Lndry Standp ..... Dent. Oper, . ....
Whirlpool Disposal .... Dip Well .....
Lavatory ..... Dishwasher ,. ~ Drink Pm
To/let
.... ,%rap Pump ......... Wait, St.
Res. Sink EJectottC-n/nd ...... lee: Cl~¢st
~ S/nk Warm- Sofmer Exam Sink
Wa~- Heater Loc, al Waste 'Scu~- Si~k
~3 Gas E Elect ~ PwrVn!
Clothes Wshr Hand Sink
' ' ' Bi~t t~ Prap Si~k
Floor Drain
Beer Tap , . Serv Sink
/.ndry Tray Classrm Sink jnt Or~e Trap
Lab Sink
Surgeons Sink Ext Grease Trap
Plaster Sink ......
"' Breaknn S/nk
Stvn'I/zer ....
Electric Contractor
Hr/Wst Sink '
Ca~ch Basin
Wash Fm
Ur~al
Oar Dml~
Cofftm Maker
Ice M~ker
S~Dr~
RoofD~n
J--]Electric Install~ion Veriflcati~u form attached
(if P. aplacement)
StormSewer
Water Service