HomeMy WebLinkAbout0156083-Plumbing (tub, lav & toilet) � CITY OF OSHKOSH No 156083
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 863 HARMEL AVE Owner FRANK W/JUDITH F BIGLOW Create Date 06/10/2013
Contractor DRUCKS PLUMBING 8 HEATING CO 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 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 1 San Sump/Pump 0 Fir/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/interior plumbing
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1412200000
Valuation $4,888.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By — �.i� • Date 06/10/2013
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 314APPLETON ST MENASHA WI 54952 -2318 Telephone Number 426-2654
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.
JLRJ-10-2013 12:18P FROM:DRUCKS PLUMBIN� C920)722-0651 T0:2365084 P,2
City of Oshkosh .
Inspecttai Scrvlces Dlvision . �
' P 0 Box 1130
�� Oshkosh�WJ 54903-1130 �
�lione:(920)236-5050 • •
Fax;(920)236-5084 �
O E ATEQ
Plumbing Permit Apptication
1 hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the i
Wisconsin State Plumbing Code,in the performance of�vhich all parties hereto agree to and are bound by said statutes.
• Application(s).and fee(s)can bc brought to City Hall,Room 205 or mailcd to Inspection Services,PO Box 1128,Oshkosh WI
54903•1128. Commencing work without permit(s)will result in fees being doubled or S100.00 plus the normal permit fee,which ;
evcr is greater.
OR
1f vou are n eonlrac�or parllclpaNne in Jhe Perml! f ee fJccoun� Svsrem and have adeyua�e Junds check here ;
j�vou wan! �his processed !hr uFh vour accounl (�1
**Advisory-For applicable projects, An Electrical Installation Verification(EI�form, signed by the Electrical s
• Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted
with the permit application. Applicadoas submitted withont an EN wt�en snch is zeqnired,wi11 not be
processed for Penmit Issuance and will be retnrned for completion.
Job Address__��3 �4rn� e� Au2 VAIUC(Includingleborand rtntcrlals) y88&`�' Date �/0—�3
Owner ���I g r 4 1 o w Contractor �/'�1�S
�3�1e Fnmlly �Duplex ❑Multi-Family QRental ❑Commercial �Industrial
Number of Fixtures:
Bathwb _L Sump Pump Plaster Sink Roof Drnin
Shower Sun,Sump/Pump Scullery Sink Sode Disp
Whtrfpool Water SoRener Servlce Sink Co1Ta Mkr
LeveWry _L Standpipo Rec Shamp Sink Slte Drnln
Toilet �L Oarage FD Surgeons Sink Waitrs Sm
KilSink Loeol Waste Sterlliur IceChest
Dlsposnl _Ber Sink RAZ Vobe Comm Ice htaker
Dishwashcr Dreakrtn Sin�c Bldet IntC3reueTrep
Ftoor Drain Classrm SINc Urinal Ext Gmese Trep
Hose Bibb �m S�� Beu Tep Eye Wash Su+
Woter Hea�cr F Prep 5ink Dipper Well Deduct Meter
0 Gae 0 Plat 0 PwrVnt Floor Slnk Drink Fnm Wtr Sewer Mtr
Clothp Wsht Hnnd Sink Wnsh Fnin
Wtr Usage Mk
L"�'Trey Cab Sink Cutch Busi� Mtsc Fixmra
, �� �
Elcctric Contractor (for projects not rcquiring an EN Form)
Usc/N�ture of Work
Size Material Type , # Conn.Type
Sanitary Sewer ' ' �
Storm Sewer
Watcr Service
06/09