HomeMy WebLinkAbout0156224-Plumbing (shower) � CITY OF OSHKOSH No 156224
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1814 DELAWARE ST Owner JAMES/ELAINE M WASTART Create Date 06/13/2013
Contractor REBATH OF CENTRAL WISCONSIN _ Category 412-Res-Interior(NewlRelocated FiMures) 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 0 San Sump/Pump 0 Fir/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 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/replacing bathtub with shower
of Work �
**"debit acct�"'
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1408100000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By �1�, Date 06/17/2013
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.
, Jun. 13. 2013s11 : 06ANb . REBATH CENTRAL WI 9203035935 : . � No 4278�� 1/2 . .
Phone:(920)236-5050 � � � . . �/ LI
. Fax:.(920)236-5084. . . � . . : �.0 I II�O I�
' . ON TME WATER
. � � � Plumbing Permit Application . �
I hereby apply for a pe�rnnit to.do and install the followin;plumbing on the premises hereinafter descnbed,the work to confornn to the
� 'Wisconsin State Plumbing Code;�in the per�ormance of which all parties hereto agree to and are bound by said statutes.
� Application(s)and fee(s)can be brou�ht to City Hall,Room ZOS or mailed to Inspeclion Services,PO Box 1128,Oshkosh WI
54903-1128. Commencing work wirhout permit(s)will result in fees bemg doubled or$100.00 p�lus the normal permit fEe,which
ever is geater.
. OR . .
�vou are a contractor�,arficrnating in the permid Fee Account Sy�tem_ and have adeauate funds. check here
if vou want this processed throvgl� vous accaunl n � . '
*'"Adnisorp-For applicable projeets, an Electrical InstallariQn Vezifiicat�io�(LT�form,signed by the Electr�eal
Contractor ox Homeo�wner(for installations allowed to bc perfozmed.by the homeowner)mnst be submitted �
�ith the�eimiit application. Applicat�ions snbmi.ttcd withont an EYV when sdch is requ�.u'ed, wi1Y not be �
processed for pezxn�it Issaance and will be returned for completion. �
Job Address���Q UJQ�� J I ' Va�liC(Including labor and tuatcriais) �� DatB —I
Owner ��DIYIQ wQ�4`�" Coniractor ��Ol�) _ _ _
�Si►agle Family ❑Duplex OMulii-Family []Rental ❑Commercial ❑Industrial
Number u�Fiu�tures: .
Dathtub Sump Pump Plasrer Siak Roof Drain .
Shower. � San.Sump/Pump . Scullcry 3ink Soda Disy
�Yhiripooi Water Softencr Scrvice�ink ,Cottee T,�iIQ
Lava[ory Sm�dpipe Rec Shamp Sink Sitc Chsjn
To�let Gara,Pe FD Surgcons 5ink , Waias Sm
Kit Sink L.oeal'Wast� Sterilizer • �x Chest
Disposal Bar Sink . RPZ Valve Comm Ice Maktx
Dis6wsshcr Breaktm Sinl: .'�ideE : : Int Greeae Trap •
Floor Drnin Ciassrm Sink Urinal Fx�G�mase Trap
Hosa Bibb Exam Sink � �. Beer Tap . Eye Wesh Sla•
Wa[er Hea�c� F Prep Sink DiDDOt Wel! . Deduct Mefcr
0 Gtu o Elect O.PwrVnt �ppr Si� ���ntr� � Wtr$ewc Mv
Clot6es Wshr Hand.Sink... . . .._.._..._....... .}!!�tSgh,Enm._..... _...._. ..... ....._...Wtr.U-�a5q Ma
. . ._._...LndryTray. ... .. � LabSink _. . ..._..CfficbBasio . . Misc'F.ixtvccs.... . .
Electxic Coutractor(far projects �iot reg�iring an�EIV For�) �
.. .... .. .. ..---._. .... .. . . . ..
Use/Nature of'Work
� � Size � Material Type # Conn.Type .
. . . . . . . � . �
Sanitary Sewer
Storm 5cwer .
Water Service . '
� 06/09