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Home My WebLink About0152270 - Plumbing (relace Kitchen sink) CITY OF OSHKOSH No 152270 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1262 WISCONSIN ST Owner KATHY J KIETZ LIVING TRUST Contractor J RASMUSSEN PLUMBING INC Ca --- Create Date 09/11/2012 Category 410-Residential-Interior Plan Inspector Jerry Fabisch — Bathtub — Clothes Wshr Classrm Sink _ Surgeons Sink Roof Drain Shower __ Coffee M Lndry Tray Exam Sink Deduct Meters Sterilizer _ Soda Dis Whirlpool __ Lavatory Sump Pump F Prep Sink RPZ Valve p Wtr Sewer Mtrs Maker Wtr Usage Mtrs ry San Sump/Pump Flr/Wst Sink Bidet Toilet Site Drain Misc. Water Softner Hand Sink Urinal Fixtures Kit Sink 1 Standp Rec Wait.St. 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 Water Heater — Eye Wash Statn Use/Nature SFR/REPLACE KITCHEN SINK **debit acct — of Work L Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1203160000 Valuation _ $50 Plan Approval $0.00 Permit Fees Issued By ./�r'wJ 11 $25.00 ❑ Permit Voided Date 09/11/2012 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number (920)233-6747(wor■ To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection (i.e. Footing, Service, Final, etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Y 09/11/2012 06:12 9202311289 J RASMUSSEN ingpeet.i011,Servi es Division PAGE 01/01 P R,jinx /130 Oshkosh..WI 54903-1130 Phone:(920)234i-5050 Fax:(920)236-5084 Plumbing Permit Application 0 N THr W/crt r? 1 hereby apply for a permit,to die and install the foliowing plumf bing on the premises hereinafter described the r Wisconsin State.Plumbing Code,in the performance of which all;parties hereto work qt,conform to the agree to and are bound by saki statutes.. * Appliemion(s)and fee(s)can be brought,to City.f iall,Room 205 or mailed to Inspection Services, PO I3ox 11,28,Oshkosh WT 545103-1.12$. Commencing work without penult(.)will result;in fees being doubled or$100.00 plug the normal permit fee,which cycor is grcia.ter. OR II void arw_onlrast.u...R.Cd,L.z�?nazinP Jn ttiR rr iz , f YP?�?t_P __•F ► _4g�cn! �S1�.czerr�r� hare gl� fit! �funds check ire z r t _p nCe.S.1�1_01Q.F,.b ,��o". 00 C2,$.01 - **.Advisory-For applicable projects, an Electrical Installation Verification(F.IV)finrm,signed by the Electrical contractor,or Homeowner(for installations ons allcowed 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 wiil be returned for completion. Job Address 92 p . ,L j664 SA-1 Value(Including lahnrand materials) Dale 9--('(2- Owner — i GI-r- _ Contractor _ S ►K is J S N 24,-, �C_ 1a ir,glle Perak DDupler �DMaelti-Fatinilly nReutaal nCominemerclal f.i<ndustriat Number of Fixtures: amhnda _—., .-_ Sump Primp ---- Plaster Sink Ronf Drain --,..,,, Shmucr __—_ _ , San.Sump/Pump --_„_ Scullery Sink Soda Dip ,-..__ Whirlpool __ Water Semler _, Servico Sink —„,- ci,Fr e,Mkr ---..—_, Lavatory —_ SYanripipc Rec. ,•.,__ Shamp Sink „__— Site Drain --_. Tula rune FD Surgeons Sink —_ Waits Sin __ Kit Sink I l..neal Waste �,•„.—__ Sterilizer �_-— lee Chest .—_y_, Nap/soot _.__ [tor Sink. RPZ Vahre —,___,.„ Cumin iee Maker ----„.. Dishwasher _ Break-ma Sink . Bidet 1nt(Ieaae Trap ,,...-- i Mom Tlrnin �T. Ctasaml Slate .--_. urinal •�—_. 1 ftc t3rcaac Trap „__—_, lime 13ihh — Drain Sink _y—_ Beer Tap —. ._ Eye 41UP511'Stn ___ Water iicstor _T, F rrei,,Sink --_. Dipper Well —_-- Deduct Muter I:1 Crag I..I E1cel fl PwrVni. Floor Sink ,_,—_.. Drink Finn _— Wtr Sewer Mtr —�. _ ._tIothes Wshr _—__-. Hen n Sink Wash Fntn __ -. Wu.Usage T.nrlryTroy -,_--_ Ti.,. Sink _.m,_T._ Catch F.hwin ----- Misc Pil(rurre ----- Electric Contractor(for projects not requiring an ETV Form)• _Use/ Na.ture of Work__•_ P...4.1 (..e-e. S;f4)fc. Size Material Type _ . ---- Conn.Type --__...�-- Sanitary Sewer Storm Sewer Water SCM vke oe/0T Received Time Sep. 11. 2012 7: OOAM No. 0781