HomeMy WebLinkAbout0155166 - Plumbing (plumbing fixtures) CITY OF OSHKOSH No 155166
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1471 NORMAN CT Owner MICHAEL J/BARBARA M GIBSON Create Date 04/19/2013
Contractor M P KELLY 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 1 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 2 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 2 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 Sculry 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 PLUMBING FIXTURES **check#12667
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1342830000
Valuation $2,00p.00 Plan Approval $0.00 Permit Fees $45.00 ❑ Permit Voided
Issued By a Date 04/19/2013
I
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 665 N MAIN ST OSHKOSH WI 54901 -4431 Telephone Number 231-1750
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.
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VGh IJ. L V I 1 IV.JVnn1 v t I I v• VVIIIv4V II •II' I ..vl .vn ,•-, ,,
:ity of Oshkosh ,
,spectdon Services Division
0 Box 1130
® 1
Ishkosh,WI 54903-1130 ' ,
horse:(920)236-SOSO
aX�(920)236-5084 1 ,1'0/y1 a
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Plumbing:Permit Application
hereby apply fora permit to do and install the•follca38g plumbing an the promises hereinafter described,the work to conform to the
Wisconsin Sate Plumbing Code,in the polbrmatae of which all parties hereto agree to and are bound by said statute&
Application(s)mid ft e(s)can be brought to City HBtil,Room 205 or ni*led•to Inspection Services,PO Box 1128 Oshkosh WI
54903-1128. Commencing work without permit(s)Will result in fee being doubled or SI00.00 plus the normal permit fen,which
ever is greater,
OR.
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*Advisory-For applicable projects, an E a R in*NIladon'V'i ttMn )form,,signed by the Tsleunicu
onttactor or Romcowner(far installations allowed to be performed by the homeowner.)must be submitted
rich the permit application. Applications submitted without tna l rl when such is required,will not be
rocessed for P,ten*Issuance and will be
for complthm.
ob Addrdgf ` � tp(7ncludne•Myriad menials) L, /QQ Date
G
1 er ' i . Contractor L ;l,
1 gig Family a Duplex OMuif-Family , []Rental []!Commercial ■Industrial
lumber of Fixtures:
Bathtub , Sump Pump -_.__ PltaterSln1t Roof Drain
Shower ,• Sin.SumpiParnp Sculley Sink Salt fitp .--~._
Whirlpool „,,;_„__ Water Softener Service-Sink Cuttbeb>,dkr Tr
Lavatory Standpipe Rea _,__-__ Stamp Sink _,,,, „ Site DNn
foilct (3etage FD Snrfeost Sink Walks Stn
at Sink Local Wesste ___� Sterilizer • Teo Chest
)itposal _ Bar Sink �V•rly; Cmnnitee MAW T-
3fahwashet BroakitnSin 'Bidet _,_ intere ersep
door Drain Chasm Sink
------ Urinal BM(3rtase'#rap
f=ete Bibb Bxaru Sink _ Stet Tap �_
. �Warn Stn
Voter _ P Prep Sink Dipper Well Deduct Meter
a Osi 0 utectOPwrVnt Floor Sink Drink Fnm Wtr SevrerMtr
:lothes Water Hind Sink Wash Fern WtrtlsagaMlr
ardty Tny Lab Sink Cttch-Basin bite Fixture*
is Contractor(for ,�, eels not requja'b n El".'Form)
V'ature of Work ]Lc,/ C °t. (, Q T3 I 1 f i S t VS- 5 ite 1'd
Size Material Type # Corm,Type '
Sanitary
.:dWer
‘))'Storm Sewer . •
tt1
Water Service
.0S/09
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