HomeMy WebLinkAbout0105951-Plumbing (bath remodel)OSHKOSH
ON THE WATER
· ,lob Address 839 OSBORN AVE
Contractor DRUCKS PLUMBING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SUSAN E BABLER
Category 410- Residential-Interior
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 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
0 Ejector/Grind 0 DipWell 0 F PrepSink 0
0 Water Softner 0 Drink Ftn 0 Serv Sink 0
0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0
0 Clothes Wshr 0 Ice Chest 0 FIr/~Vst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 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 105951
Create Date 01/06/2004
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
__ Iht Grease Trap 0
__ Ext Grease Trap 0
RPZ Valve 0
Eye Wash Statn 0
of USe/Naturework IFR/ Remodel.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Corm. Type
0
0
0
0
0
0
0
Valuation $3,500.00 Plan Approval $0.00 Permit Fees $20.00 [] PermitVoidedJ
Issued By
Date 01/06/2004
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 PO BOX 355 MENASHA WI 54952 - 0000 Telephone Number 426-2654
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 o2 Oshkosh
Inspection Services Division C Q
'V
P O Box i 130 ~p~
Oshkosh, WI 54903-1130 Jq~~ 0 _ ~,
~;
Phone: (920) 236-5050 2 ~,~ ' '` ~/ (~
Fax: (920)236-5084 HI~Off l
DEPARTMENT pF ON THE WATER
~~MMUNITY DEVELOPMEN ~' ~ 3 ~~ d 3
Plumbing Permit Application ~ 6 ti3?
5
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 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
~you are a contractor participating in the Permit Fee Account System and have adequate funds check here
1 you want this processed through your account n
Job Address ~~ (.~yN-'p ~ Value (Including labor and materials) 3F~I Date / 9 d
Owner _~lisQl~i ~Q~~ V Contractor ~jJYUG~C
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
Number of Fixtures:
Bathtub J~ Lndry Standp Dent. Oper. Shamp Sink
Whirlpool Disposal Dip Well Flr/Wst Sink
Lavatory _~ Dishwasher Drink Ftn Catch Basin
Toilet Sump Pump Wait. St. Wash Ftn
Res. Sink Ejector/Grind Ice Chest Urinal
Bar Sink Water Softner Exam Sink Gar Drain
Water Heater Local Waste Sculry Sink Soda Disp
Gas ~ Elect = PwrVnt Clothes Wshr Hand Sink Coffee Maker
Shower Bidet F Prep Sink Ice Maker
Floor Drain Beer Ta
p
Serv Sink
Site Drain
Lndry Tray Classrm Sink Int Grease Trap Roof Drain
Lab Sink Surgeons Sink Ext Grease Trap Standp Rec
Plaster Sink Breakrm Sink
Sterilizer
Electric Contractor
OR ^Electric Installation Verification form attached
(lf Replacement)
Use /Nature of Work _ Iii ~YYtoC~P~
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
3/02
Job Address 839 OSBORN AVE
Owner SUSAN E BABLER
`egory 410 -Residential-Interior
oathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 1 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
Use/Nature FR/ Remodel.
of Work
Plumbing Permit Work Card
Permit Number 105951
Contractor DRUCKS PLUMBING
Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink
0 Water Softner 0 Drink Ftn 0 Serv Sink
0 Local Waste 0 Wait. St. 0 Shamp Sink
0 Clothes Wshr 0 Ice Chest 0 FIrNVst Sink
0 Bidet 0 Exam Sink 0 Catch Basin
0 Beer Tap 0 Sculry Sink 0 Wash Ftn
0 Dent. Oper. 0 Hand Sink 0 Urinal
0 Lab Sink 0 Plaster Sink 0 Standp Rec
0 Sterilizer 0 Surgeons Sink 0 Ice Maker
Value $3,500.00
0 Gar Drain 0
0 Soda Disp 0
0 Coffee Maker 0
0 Int Grease Trap 0
p Ext Grease Trap 0
0
0
0
0
Sanitary Sewer
Storm Sewer
Water Service
Size Material
Date Type
Inspector
Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Create Date 01/06/2004
Conn.Type
Date/Time requested: Notice Type: Telephone Number:
Access:
Ready Date/Time: Requested By:
Reinspect Fee (~ Fee Waived ^ Reinspect Fee Paid
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