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Home My WebLink About0153281 - Plumbing (replace vanity top/sink/faucet) CITY OF OSHKOSH No 153281 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1708 HICKORY ST Owner TERRY/HOWDINE HENDRICKSON Create Date 10/31/2012 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 1 San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures Kit Sink Stand p Rec Lab Sink Beer Tap Ice Chest _ Disposal 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/REPLACE VANITY TOP/SINK/FAUCET **check#27216 of Work I Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1512610000 Valuation $260.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided Issued By Date 10/31/2012 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 oN Fax:(920) 2 0 0 Phone:( 236-5084 Fax:(9Z0) Plumbing Permit Application the premises hereinafter described,the work to conform to the plumbing on P, said statutes. permit m in and install the following nce of which all patties hereto agree to and are bound by I hereby apply for a p Code,in the P O Box 1128, Wisconsin State Plumbing action Services,P plus the brought to City Hall,Room 205 or.mailed t. fees being doubled or$100.00 p • Application(s) Oshkosh WI and fee(s)can be meng work without permit(s)Oshkosh WI 54903-1128. Commencing •de R1e u c eck here normal permit fee,which ever is greater. 'r f� • , ,ve OR „ , eau are a can rac •r •• r you wan[ t 's _ •• o�J Date Including labor and m terisis) ��'� �� Value( i Job Address �� G. S• Contractor Industrial Owner �� '�-` ' r ` � Rental ❑Commercial ❑ [�5ingle Family ❑ Duplex . ❑Multi-Family ❑ Catch Basin ---- Number of Fixtures: Drink Ftn Wash Ftn Disposal Wait.St. - W Bathtub _ Urinal Dishwasher Ice Chest -�- -- Res Gar Drain Sump Pump Exam Sink - --- Lavatory Soda Disp Ejector/Grind gculry Sink —.-- Toilet Coffee Maker Water Softner Hand Sink --- Res.Sink Comm.Ice Maker Local Waste F Prep Sink Bar Sink Site Drain — Clothes Wshr Sery Sink Water Heater Roof Drain D Gas D Elect D PwrVnt Bidet [nt Grease Trap Standp Drain Shower Beer Tap Ext Grease Trap Eye Wash Stn Floor Drain Ciassrm Sink R.P.Z.Valve Lndry Tray Surgeons Sink Wtr Sewer Mtrs Shemp Sink ___- Pla Sink Breakcm Sink DirSewerMs Plaster Sink Dip — Well Flr/Wst Sink Wtr Usage Mtrs — Sterilizer Hose Bibs Misc Fixtures OR ❑Electric Installation Verification form attach Electric Contractor 1(If Replacement) Use i Nature of Work SIG c� # Conn.Type Size Material Type Sanitary Sewer Storm Sewer Water Service