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Home My WebLink About0152571 - Plumbing (interior Plumbing) CITY OF OSHKOSH No 152571 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 815 W 10TH AVE ----0 H Owner HAROLD A BEYER Contractor THOMAS PLUMBING --- --- - - -_---____ Create Date 09/25/2012 PLUMBING Category 410-Residential-Interior Plan Inspector Jerry Fabisch Bathtub 1 Clothes Wshr 1 Classrm Sink Bathtub Surgeons Sink Roof Drain Lndry Tray Exam Sink Sterilizer Deduct Sewer Meters Whirlpool --- Soda Disp Wtr Sewer Mtrs p Sump Pump F Prep Sink RPZ Valve Coffee Maker Wtr Lavatory 2 San Sump/Pump Flr/Wst Sink Mis Usage Mtrs Bid Toilet 1 Water — _ et Site Drain Misc. er Softner Hand Sink Urinal Fixtures Kit Sink - 1 Standp Rec 1 -- __--_Wait.St. __ Lab Sink Beer Tap Ice Chest Disposal — Gar Drain Plaster Sink Dishwasher - Dip Well Comm Ice Maker Local Waste Sculry Sink Drink Ftn Floor Drain Bar Sink --_Int Grease Trap Sery Sink Wash Ftn Ext Grease Trap Hose Bibb _ Breakrm Sink Sham Sink P Catch Basin Eye Wash Statn Water Heater 2 - --- _ -_ Use/Nature SFR/interior plumbing associated with correction notice of Work L Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1302720000 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $63.00 El Permit Voided I Issued By -3:t." - - Date 09/25/2.012_ In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Os ash has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this rmi application within a f i sement,the City strongly urges the permit applicant to contact the easement holde a d to secure any net s•`-ry approvals before starting such activity. Signature / /�� . L� ; `„'` Date - aZ,5 —/ Agent/Owner Address 849 VINE ST OSHKOSH WI 54901 -3665 Telephone Number 232-0094 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, WI 54903-1130 Phone: (920)236-5050 Fax: (920)236-5084 O1HKOIH 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 n **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signeby the 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 ?icy- Ad Jo f4 Value (Including labor and materials) // Date °(2____ Owner (Ia cc (d cL e__r Contractor ESingle Family Lal,puple ❑Multi-Family (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 p/ y Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink _ V 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 a F Prep Sink Dipper Well ❑Gas 0 Elect❑PwrVnt Fl Deduct Meter Floor Sink Drink Fntn Clothes Wshr I Wtr Sewer Mtr Hand Sink Wash Fntn Lndry Tray Lab Sink Wtr Usage Mtr Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work laziJ( G /'ainc Size Material Type # Conn. Type Sanitary Sewer Storm Sewer Water Service 06/09 ..... ....._..