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Home My WebLink About0151672 - Plumbing (replace Vanity/sink) 0 CITY OF OSHKOSH No 151672 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2690 W 20TH AVE Owner MARK A SEBSTEAD Contractor BAUSCH PLUMBING Category Create Date 08/13/2012 ategory 413-Bes-Interior(Replacement Fixtures) Plan Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Whirl ool Soda Disp Wtr Sewer Mtrs P Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory 1 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap P Ice Chest Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher 0 Local Waste Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink Wash Ftn Ext Grease Trap Hose Bibb Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater Use/Nature SFR/REPLACE VANITY TOP/SINK **check#27039 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1319080000 Valuation $220.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By nw\ Date 08/13/2012 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 1606 W HASKEL ST,STE A APPLETON WI 54914 -5032 Telephone Number 920-830-9222 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 P O Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 nrt Fax:(920)236-5084 Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises ices hea inafte and are bouhe w by skid to conform to the Wisconsin State Plumbing Code,in the performance of which all parties fee(s)can be brought to City Hall,Room 205 or mailed ton Inspection being doubled PO r$100.00 p8, the • Application(s) shkc h WI 4n ( ) will result Oshkosh WI 54903-1128. Commencing work without permit(s) normal permit fee,which ever is greater. OR Li ,,i . ve ode uate un s c tack here ' o ' 1 1 ou are a contract, r, i"t� ' •' � ' � � � i you want this •. ess•d I • . • i . r i .I Value(Including labor and materials `� Date S Job Addres•� � ,� �� Owner l .. '/-C6i� Contractor If AI/ Ingle Family Duplex []Multi-Family []Rental ❑Commercial ❑Industrial • Number of Fixtures: Catch Basin Disposal Drink Ftn Bathtub p Sump Wait.St. Wash Ftn Whirlpool Dishwasher Urinal Sup Pump Ice Chest Lavatory --/— Exatn Sink Gar Drain Toilet Ejector/Grind Soda Disp Water Saner Sculry Sink Bar.Sink Hand Sink Coffee Maker Bar Sink Local Waste Water Heater Clothes Wshr F Prep Sink Comm.Ice Maker 0 Gas O Elect PwrVnt Sery Sink Site Drain Bidet Roof Drain Shower Beer Tap Int Grease Trap Floor Drain Ext Grease Trap Standp Rec Classrm Sink Lab Tray Surgeons Sink R.P.Z.Valve Eye Wash Stn Pla Sink Sham Sink Wtr Sewer Mtrs Breakrm Sink p Plaster Sink Dip Well Flr/Wst Sink Deduct Meters Wtr Usage Mtrs Sterilizer Hose Bibs Misc. Fixtures Electric Contractor OR ❑Electric Installation Verification form attache (If Replacement) Use/Nature of Work 2 's /1- )1 '.-/r A ` '.0 S/ o? Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 11/c