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Home My WebLink About0154170 - Plumbing (replace toilet) CITY OF OSHKOSH No 154170 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 820 PARK RIDGE AVE Owner ROBERT J/JERILYN J OENES Create Date 01/15/2013 Contractor RAUSCH PLUMBING Category 413-Res-Interior(Replacement Fixtures) Plan Inspector Jerry Fabisch Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0 Shower 0 Lndry Tray - 0 Exam Sink 0 Sterilizer _ 0 Soda Disp 0 Wtr Sewer Mtrs _ 0 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0 Lavatory 0 San Sump/Pump 0 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 1 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures Kit Sink 0 Standp Rec - 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher 0 Local Waste 0 Scully Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 0 Sery Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 0 Use/Nature SFR/REPLACE TOILET **check#27359&27382 of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1219740610 Valuation $103.00 Plan Approval ___$0.00 Permit Fees $30.00 ❑ Permit Voided Issued Byuli Date 01/15/2013 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 Services Division ;�'� • Inspection n P 0130x 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5054 Application Permit App to the• Bing the work to conform Plum said stattttes. plumbing on the premises hereinafter to and are bound by ance of which all parties hereto agree Box 1128, 1 for a permit to do and instanl�hc following p coon Services,PO 00 00 plus the I hereby apply Code, to Ittspe 205 or mailed doubled or Wisconsin State Plumbing ht to City Nall,Room will result in fees being s can be Commencing work without permit(s) here • Application(s)and fee(s) Commencing n, c ec 54903-1128. •ve ade•uate Oshkosh permit which ever is greater,. u normal permit fee, � . u OR ouareac• ii a t' ¢� • . . • 1 0 Datel i •ou ~rant tl i t•.ce Value(includini!labor and materiels)� I �/� ��--yy��U G`��1 L_ �� 4-1,1V Contractor � �i Qlndustrial Job Address` Contra Com>nnercial J ' ' Rental ❑ Owner Duplex ❑Multi-Family ❑ [�5ingle Family ❑ Catch Basin Drink F1n Wash Ftn Number of Fixtures: Wait St. Urinal Disposal Batlitub — �— Gar Drain Dishwasher lee Chest _ Whirlpool Sump pump lee C Sink Soda Disp Lavatory Ejector/Grind Seulry Sink Coffee Maker Toilet —�-- Hand Sink Comm.Ice Maker — Water Sa Waste Res Sink Local Waste F Prep Sink Site Drain Bar Sink — Sery Sink Clothes Wshr Roof Drain Water Heater — Bidet Int Grease Trap $tandp Rec ❑Gas❑Elect O PwrVnt ` Beer Tap E><t Grease Trap Eye Wash Stn Shower Classrm Sink R.P.Z.Valve Wtr Sewer Mtrs Floor Drain �_ Surgeons Sink Shamp Sink ' Deduct Lndry Tray Sink —� Lab Sink Breaknn FIr!Wst Sink Wtr Usage Mtrs Plaster Sink Dip Well Hose Bibs Sterilizer form attact Misr. Verification Fixtures pg ❑Electric Installation �" Of Replacement) Electric Contractor ,v�� Work Conn.Type Use /Nature of Type # Size Material Sanitary Sewer Storm Sewer Water Service