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Home My WebLink About2013-Plumbing � CITY OF OSHKOSH No 155457 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER JobAddress 1203 WITZELAVE Owner STEPHEN P VANMUN Create Date 05/06/2013 Contractor REBATH OF CENTRAL WISCONSIN Category 412-Res-Interior(New/Relocated 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 Trey 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 1 San Sump/Pump 0 FldWst 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 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0 Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrtn Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 : Water Heater 0 Use/Nature SFR/interior plumbing associated with the remodel of bathroom of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0607830000 Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j Issued By ��_ Date 05/06/2013 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 AgenUOwner Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068 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 Inspeciion Services Division � P O Box 1130 � Oshkosh,WI54903-1130 Phone:(920)236-5050 Fax: (926)236-5084 � KO H ON THF WATER Plumbing Permit Appfication ; I hereby apply for a permit to do and iz�stall t6e 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 broaght to City Hall,Room 205 or mailed to Inspecrion Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work withont permit(s)wilI result in fees being doubled or$100A0 plus the normal permit fee,which ever is greater. OR I ou are a contractor artici atin in the Permit ee Account S slem and have ade uate unds check here i ou want this roce sed throu h our acc unt � **Advisoxy-For applicable projeds, an Electrical Tnstallation Verification(EI�form, signed by the Elecdrical � Contractar ar Homeowner(for installations allowed to be pezf'oxmed by the homeowner)mnst be submitted with the permit application. Applications submitted without an EIV when su.ch is reqaired,will not be pracessed for Perrait Issuauce and wil1 be returned for completion. � � � � Job Address �o�� rllV i'�'� VAIIIC(Inclvding labor and materials) �� Date 5 1 � Owner S�p,fl �,�']l1 � Coatractor �p�� (�Pn { VV1 C( Q%1� ; '�Siagle Family �Duplex ❑Multi-FamiEy QRental ❑Comraercial ❑Industrial . � i Number of Fixtures: � : Bathtub Snmp Pump Plasier Sink Roof Drain � Shawer �_ ' San.Sump/Pump Scullery Sink Soda Disp ' Whidpool Water 3oftener Service Sink Coffee Mkr i Iavatory � Siandpipe Rec Shamp Sidc Site Drain i Toilet Ciarage FD Surgeons Sink Waitrs Sm � Kit Siek Local Wa�te Steriliur Ia Chest j Disposal Bar Sink RPZ Valve Comm Ice Maker � � Dishwasher $raaiQm Sink "Bidet Int Qrease Trap � � Floor Drain Classrm$ink Urinal Ext Grease Trap � Hose Bibb Facaa►Sink Beer Tap Eye Wash Stn � WaOer Heater F Prep Si�lc Dippet We!! Dedaci Met� ; ❑Gas�Elect O PwrVnt Floor Sink Drink Fntn Wtr Sewa Mtr € Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mv i Lndry Tray �g� Catch Basin Misc Fixtures I : ; � _ .. .. ...... .. ...._ _ . .. ... ...__...... _ _ ...._ .... .. ___ _... ..._ .. ... .__ ... .. .. . . . .. _ _ __ _, � Electric Contractor(for projects not requiring an EIV Form) ' ; Use/Nature of Work � ; � Size Materia2 Type # Conn.Type � ; Sanitary Sewer ' Stotm Sewer � Water Service . ' { � i ' I � . � 06/09 I i �4 k�- 5-� ,