HomeMy WebLinkAbout0151766 - Plumbing (replace bathtub0 CITY OF OSHKOSH No 151766
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 617 SCHOOL AVE _ Owner MITCH HESS Create Date 08/17/2012
Contractor JIM'S PLUMBING&HEATING INC Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 1 Clothes Wshr Classrm Sink Surgeons Sink Roof Drain Deduct Meters
Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs
Whirlpool Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Usage Mtrs
Lavatory 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 Ice Chest
Disposal Gar Drain Plaster Sink Dip Well Comm Ice Maker
Dishwasher Local Waste Scully 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 BATHTUB **debit acct
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0201410000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 DI Permit Voided
Issued By
Date 08/17/2012
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 W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number 920-757-5258
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.
08/16/2012 15:25 FAX 920 757 6482 JIM'S PLUMBING C�j001/001
City of Oshkosh
Inspe.ctiet) Services Division
POBox 1130
Oshkosh. \\l 54903-1130
Phone: (920, 36-5050
Fax: t9 0),_6-508:, Oil KO.IH
ON THE WATER
Plumbing Permit Application
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 :Il parties hereto agree to and are bound by said statutes.
6 Applications)and fee(s) can be brou 2ht 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 S 100.00 plus the normal permit fee. which
ever is creator.
OR
/1 von C •i' cr:ntl�actor particinati, in the Permit Fee Ac o,,,i! Cv'.S'fer and have ade.duate funds, check here
i%_you wont this processed through _. ,%'./Y account F+
**Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
7 Job Address Co' / , ,
——1 C . 7r •v im_ Value (In.lu. :Ind materials/4: /4`"'; `:' Date &Pc, 7l 2--
Owner ttr T'rC 1., hie c.:; Contractor f :` tt'e .. (/
_ �
[ Single Family Duplex El ulti-Family Retrial 'Commercial nlndustrial
Number of Fixtures:
huitr /
Fiar Sump Pump P ._._
r Sink: Roof Drain
Shill+er San. Sump ---- S-....i:lep. Sink Soda Disp
Whirlpool r.•l Water Sopene:' xer•,;,_Sink Coffee Mkr
I.avator: Standpipe P.ec Sham?Sink Site Drain
Toiler Garage F S rcli.::,iTS Sink Waitrs Sin
Kit Sink Luau)'-1 Waste ...,; i'ic r Ice Chest
Disposal Bar Sink ,.Fl...,LI ': Comm Ice Maker
n Brakr Sink „ int(irease Trap---,
Floor Dram L tassn;:Sink
�___... .. Ext Grease Trap
Hose Bibb - _— Exam Sink ____ Ent ,' p Eye Wash Stn
Water flatter F Prep Sink Weil T---_ Deduct Meter
(,as: P ti r,nt Floor Sink D..... Fiutn _ \tr Sewer Mtr
Clothes••;.'a _ Ilauto Sisk ;r.
._.: !-o'.n W tr Usage Mir
1,ntlr': (: La),Sink card:itac;a Mist Fixtures
Electric Contractor (for projects not requiring an ELY Form) _
Use i Nature of«'orb.
- Size Material Type -- Conn. Type
Sattitta€ty Sewer
1 Storm Sensor
i
i
Water Service
Received Time Aug. 16. 2012 2:49PM No. 0467