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Home My WebLink About0151871 - Plumbing (new bathtub and valve0 CITY OF OSHKOSH No 151871 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1845 CRANE ST Owner CINDY M RAHN Contractor MT. MORRIS PLUMBING Create Date 08/13/2012 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 Whirlpool P Wtr Sewer Mtrs hirl P 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 Ta Disposal Tap Ice Chest P Gar Drain Plaster Sink Dip Well Comm Ice Maker Dishwasher 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/INSTALL NEW BATHTUB AND VALVE **check#1004 of Work I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1217320000 Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued Bya Date 08/21/2012 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 W6115 COUNTY RD W WAUTOMA WI 54982 -7842 Telephone Number 1-920-765-0665 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 Box 1130 Oshkosh, WI 54903-1130 Mr Phone: (920)236-5050 / Fax: (920)236-5084 Oil IKO/H Plumbing Permit Application ON THE WATER 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 If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account El **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signeby the El Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted cal with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. Job Address ;7'- 5 ��e Value(Including labor and materials) J`-C�c ,°� Date "81'awl 1 a Owner ('.-i n d y4 h n Contractor fN Single Family Duplex ❑Multi-Family ci �s�n M} M rial ��,, � Y []Rental ['Commercial ['Industrial Number of Fixtures: Bathtub ` Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Disposal Sterilizer Ice Chest Bar Sink RPZ Valve Dishwasher Breakrm Sink Comm Ice Maker Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Hose Bibb Exam Sink Ext Grease Trap Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well ❑Gas❑Elect❑PwrVnt Deduct Meter Floor Sink Drink Fntn Clothes Wshr Hand Sink Wtr Sewer Mtr Lndry Tray Wash Fntn Wtr Usage Mtr Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work \, S I-C tr I rr • 14)ihAD id U at Uc' Size Material Type # Conn. REcFlvED Sanitary Sewer Storm Sewer AUG 2 1 2012 Water Service DEPAR MEW.OF COMMUNITY DEVELOPMENT INSPEL I ION S RVICt=S DIVISION 06/09