HomeMy WebLinkAbout0155978-Plumbing � CITY OF OSHKOSH No 155978
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1808 OHIO ST Owner MICHAEL A/JULIE A HERT Create Date 06/04/2013
Contractor E C MERRILL INC Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch
Bathtub 1 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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 1 San Sump/Pump 0 Flr/Wst 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 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR\Remodel bathr000m
of Work
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1407630000
Valuation $ 0.00 lan Approval $0.00 Permit Fees $36.00 ❑ Permit Voided I
Issued By Date 06/04/2013 :
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenbOwner
Address 809 WISCONSIN AVE N FOND DU LAC WI 54937 -0000 Telephone Number (920)921-4714
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
��.rIW��N��R��. �Mi��'� -
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rr�'' � �a�c�IVE�
C����c�c)sit�co�h JUN 0 4 2013
�nsp:�ctiori Services Division �
P ��:-? r�,'� �,1 31) DEPART�tE\T OF
i�i�hlc�>sft. WI54903-1130 C0�1>tU�ITXDEVELOP'�1EVT
P�:i;?rtc: i��?Oj 23l>-5050 iNSPECTi��SER�'ICESDI�"1SION ��� �_ i
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E��.��� �920j 23h-c,084 I on -���� �inr:a
Plumbing Permit Apptication
�,e;�;1��, z�p'y for a permit to do and install the following plumbing on the premises hereinafter described, thc worlc to con`�arr? <<� �i�e
�,�Jisa-msin State Plumbing Code, in the performance of which all parties hereto agree to and are bound i�y said statutes.
A �,f��.i:�arnn(s) ur.d fee(s} can be brought to City Half, Room?OS or mailed to Inspe�tien Servi�es, PO Box 1 128, Oshl<osh �,4'i
5�l>0�-1 128. Commencing w�rk without permit(s) will result in fees being doubled or$lOf�.00 plus the normal permit fee. �+h�cl�
ever is g,eater,
OR
. 1:__�c_�.are.�r contractorparlrcipatrnl� in 1he Permit Fee Account Svstem and have ad�uateJund�c�aeck h��i_��_
,:;'�n1._tis�an_ t.his�rocessed lhrou�h your account n
*c f`Ldvisory -For applicable projects, an Electrical Installation Veri�cation(EN) form, signed by the Eiectrical
(:ontractot or Homeowner(for instailations allowed to be performed by the horneowner) must be submitted
�ti�id► the pennit application. Applications submitted without an EN when such is required, will not be
processcd foa�Permit Issuance and wiil be returned for completion.
VitIU@(intludin fabor and mntenals) �� � Uate ����_
.}ob ,-�.ddres����.FD� /1,1�/Q S�T a - — ---
()w nir C/C/G!� ���i � Cantractor �r �/��IGL -�.�t/�_ ----- --
�',iingle 1�arnily ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Induscrial
�,
1°vuit�k�er of Fixtures:
�,� ,tuh ' Disposal Drink Ftn Cnrii Das�n ___._
K'l.ir';,cl �_ Dishwasher Wait.St. Wesl;Ftn _- -----
,.�,.��,:. �__ Sump Pump Ice Chest Urinal -_---
,i o e: �_ EjeetorlGrind Exnm Sinlc Gar Dra,c ___--
�,.:,. c;;•�; WatcrSoftner SculrySink Sndn D�s, _-- .
13a-S� �k Local W'aste Hand Sinlc Co`fec�lsikcr __ _
\�.'s:cr H��atcr Clothes Wshr F Pfep Slnk C'omm l:,c Vlr.kc� _ _-- - -
C,,:: Elcct�PwrVnt Bidet Serv Sink ---- Sire Dr�m --_. --
`�''"'�' � Becr Tap lnt Grease Trap Rnof�rain �___
F�.�„rf?r<�n ClassrmSink ExtGreaseTrap ___ Stnn<IpRcc _.___.—
'-':"';""'�'ti' Surgeons Sink R.P.Z.Vulve f-yc Wnsh 5tn ___.
'-�''' '�'� Brenkrm Sink _ Shnmp Sink __ �1%rr Sewer Litrs _.. _
P�n;e:r c,ik Dip Wcll Flr/Wst Sink ___ I)cduct Meters -----.
titi�-, it.:r HOSC Bibs \U;r I Isaec M!r5
�I sc
G':CJ(Ci
Ele�tric ('�:�ntr��ctor (for projects not requiring an EIV Form) __ ____—
iJse ! '�I�1tu re at'Work ���'IVJd 4 E L � A''T�ICOV �Vf --
, ------ ------ --------- ----- --- i
Size Material Type #� Conn. Type �
�
tian�f��rv Cewer �