HomeMy WebLinkAbout0151730 - Plumbing (replace toilet) CITY OF OSHKOSH No 151730
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 308 FOSTER ST Owner HOWARD J/SUSAN R DANULA
Contractor BAUSCH PLUMBING Create Date 08/15/2012
Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub Clothes Wshr Classrm Sink Surgeons Sink Roof Drain
Tray Deduct Meters
Shower Lndry y Exam Sink Sterilizer Soda Dis
pool -- P Wtr Sewer Mtrs
Whirl
P Sump Pump F Prep Sink RPZ Valve Coffee Maker
Lavatory San Sump/Pump Flr/Wst Sink Usage Mtrs
Bidet Site Drain M Mis isc.
Toilet 1 Water Softner Hand Sink
Urinal Wait.St. Fixtures
Kit Sink Standp Rec Lab Sink
Beer Tap Ice Chest
Disposal Gar Drain Plaster Sink
Dip Well Comm Ice Maker
Dishwasher Local Waste Sculry Sink
ry 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 TOILET *"check#27043
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0606960000
Valuation $103.00 Plan Approval $0.00 Permit Fees
,`f`J} $25.00 ❑ Permit Voided
Issued By / 1
Date 08/15/2012
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 0 Box 1130
Oshkosh,WI 54903-1130 _
Phone:(920)236-5050 0
Fax: (920)236-5084
Plumbing Permit Application
1 for a permit to do and install the following plumbing on the premises hereinafter agree and described,d,the
e work
by said t conform o to the
I hereby apply P
Wisconsin State Plumbing Code,in the performance of which all parties hereto
• Application(s)and fee(s)can be brought to City`H�louRo 205 will relsultin Inspection Services, PO Box fees being doubled or$100.00 p8us the
Oshkosh WI 54903-1128. Commencing work permit(s)
normal permit fee,which ever is greater.
OR , a, ,ave add uate und c eck here
I ou are a contr•acto ,f ici r,tip . •. 1 ' ' '
. ; tt if
if you want this vrocessed through your account n
/'
Job Address (9 ; 874` Date Value(Including labor and materials)
r� Contractor i /
Owner fir„y G� ������,
Single Family ['Duplex ❑Multi-Family ['Rental ['Commercial ❑Industrial
Number of Fixtures:
Bathtub Disposal
Drink Ftn Catch Basin
Wait.St. Wash Ftn
Whirlpool Dishwasher Urinal
Lavatory Sump Pump Ice Chest
Toilet Ejector/Grind
Exam Sink Gar Drain
Res.Sink Water Softer
Sculry Sink Soda Disp
Local Waste Hand Sink Coffee Maker
Bar Sink '
Water Heater
Clothes Wshr F Prep Sink Comm.Ice Maker
❑Gas 0 Elect O PwrVnt Bidet Sery Sink Site Drain
Shower Beer Tap Int Grease Trap Roof Drain
Floor Drain Classrm Sink Ext Grease Trap Standp Rec
Lndry Tray Surgeons Sink R.P.Z.Valve Eye Wash Stn
Lab Sink Breaktm Sink Shamp Sink Wtr Sewer Mtrs
Plaster Sink Dip Well Flr/Wst Sink Deduct Meters
Sterilizer Hose Hibs Wtr Usage Mtrs
Misc.
Fixtures
Electric Contractor OR ['Electric Installation Verification form attached
of Replacement)
Use/Nature of Work 12e P(-itc". ; (Li- -142S ')°
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
11/c
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