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Home My WebLink About0151967 - Plumbing (replace toilet) CITY OF OSHKOSH No 151967 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1702 OAK ST Owner DOROTHY R LAST Create Date 08/27/2012 Contractor RAUSCH PLUMBING Category 413-Res-Interior(Replacement Fixtures) Plan Inspector Jerry Fabisch Bathtub 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 1 Water Softner Hand Sink Urinal Fixtures _ Wait.St. 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 TOILET **check#27067 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1510490000 Valuation $103.00 , Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By 4F5-r (�J( Date 08/27/2012 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, 54903-1130 N E� Phone y, 1 , .i Fax:(. r n AUG 2 1 2.012 bin Permit Application ENl �r Plum 9 DEPARTMENT premises hereinafter described,the worn d conform tot the UNrrr DEVELOPMENT following plumbing on the p agree to and are bound by COMM g, tlt�Ab I hereb7{� Code,in the performance of which all parties hereto a PO Box 1128, Wtscon��ate Plumbing ction Services, plus the ht to City Hall,Room 205 rr.m iledlt in fees being doubled or$100.00 p • p shkosh WI and 3-112 can be meug permit(s)Oshkosh WI 54903-1128. Commencing work Without p ,vale rr� . c ec here normal permit fee,which ever is greater. Ve ade OR 1 u it . � ` ou are a • ttr•et• rc 'e , .t't • � 1 i �- i ou want tH' � D SValue(including labor and materials) ^`Date Job Address � - � S /,�/ Contractor Industrial Owner i ° /`` Rental ['Commercial ❑ ®Single Family ❑ Duplex [Multi-Family ❑ Catch Basin --- Whirlpool Number of Fixtures: Drink Ftn �- Wash Ftn Disposal Wait.St. — Whirl Bathtub — Urinal Dishwasher Ice Chest Whirlpool Pump — Gar Drain Sump Exam Sink Lavatory Soda Disp �_ Ejector/Grind Sculry Sink Toilet _ Coffee Maker Water Soflner Hand Sink Bar.Sink Comm.Ice Maker Local Waste F Prep Sink Bar Sink Site Drain Clothes Wshr Sery Sink Water Heater Roof Drain ❑Gas❑Elect O PwrVnt Bidet Int Grease Trap — Shower Beer Tap Standp Rec Ext Grease Trap Eye Wash Stn Floor Drain Surgem Sink R.P.Z.Valve Lndry Tray Surgeons Sink Wtr Sewer Mtrs Shame Sink -- Lab Sink Breakrm Sink Deduct Meters FIr/Wst Sink W d Usage ersrs Plaster Sink Dip Weil Sterilizer Hose Bibs Misc. attachr Fixtures OR []Electric Installation Verification form Electric Contractor (If Replacement) Use/ Nature of Work — # Conn.Type Size Material Type Sanitary Sewer Storm Sewer Water Service