HomeMy WebLinkAbout0156223-Plumbing (bathrub) $
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� CITY OF OSHKOSH No 156223 ''
�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER �
Job Address 1929 KNAPP ST Owner RAMELLE REEVE Create Date 06/13/2013
Contractor REBATH OF CENTRAL WISCONSIN __ 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 0 San Sump/Pump 0 FINWst Sink _ 0 Bidet 0 Site Drain 0 Misc. p
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
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 shower with bathtub �
of Work �
"'debit acct*'"'
�_
Size Material Type # Conn.Type
Sanitary Sewer
F
�
Storm Sewer
Water Service
Parcel Id# r
t
1307110800
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'
Issued By �f/� Date 06/17/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may `
continue if the inspection is not performed within two business days from the time the project is ready.
Jun, 13. 2013 =11 : 06ANk! , REBATH CENTRAL WI 9203035935 � � No. 4278�P. 2/2 .. �
Ytione:(Y1u)2.i6-JU�U . . . � . , . . �� .� r
. Faic_(920)�236-5og4 .: � � � . � .. : � HKO�H �
. .. . Plumbing Permit Application . �N THE WATER t
I hereby apply for a permit to do and iuistal(the following plumbing on the premises hereinafter described,the work to conforni to the .. s
. Wisconsin State P]umbing Code,im the peiformance of which alTparties hereto agree to and are f�o�md by said statutes.
• Application(s)and fee(s)can be brought to City Ha11,Room 205 or mailed to Inspecvon Services,PO Box 1128,Oshkosh WI `
54903-1128. Corraz�encing work wirhout pexmit(s)will result in fees being doubled or$]0�.00 plus t}ie normal permit fee,which
� ever is geater. � .
OR �
1 ou are a contract r arrici atin in the Permit Fee Ar.couni S stem and have aa'e uare und check here
i ov want th�s roceesed ihtou lt our acc unt
**Advisory-For a�plicable projects, an�Electrical7z�stallarion Vcrificadon(El�form, sig�ed by the Eiectrical
Coratxactor or Homeow�er(for installadons allowed to be pez�'oxxned by thc homeowner)must be snbmuitted � y
w�ith the pern�it application. Applicadons submitted withont an ExV'whe�n such is rcquired� will not be
pz'ocessed for Permit 7ssaance and wvill be retaraed for completion, � ,
��Ob edl.C�dTCS3� q �n �� Va]UC(Including labor and m31er'ials) ��W'�� llate � - �l
Owmer �I�� �e�k4 Cont�-actor ��b��'1 nt- IICtT�1'Q.Q 1��
�]SingIe Familq ODuplex �Malti-Family �Rental ❑Commercis�l � QIndustrial
Number of�ixtures: .
Ba�wb � . Surop Pump Pla�tcr Siok � RoofDrain �
Shower Saa Sump/P�unp Swllery Sink Soda Disp €
Wniripaoi Waocr SoReaer Service 5ink Coffc�ivficr
�v�ry Standpipe Rec Shacrip Sink $ite Drain
I'oila Garage FD . . 3ur�cons Sink, Waivs S[n
Kit SmJc Local Waste Sterilizer Ice C6est
Disposal Bar Sink RPZ Valve • Comm Ico Makrr
Dishwasher Breslorm Sink' 'Bidet : Int Greave lYap
Floor Arsin Classrm Sink . Urinel Fact G�eage irap
Hose J3ibb Ezem 5ink 9xr Tup . • Eye Wsqh Sm . :
Water Heatcr F Prcp Sink Aipper Well Deduct Meter
'0 Gas❑Elec[0 PwrVrit ploor 5ink . J�rink Fnm Wtr Scwa Ma�
Clothcs Wshr FTand Stok. . �
. Wa�h_�ntn ....... ._.. ..-- .. . .Wt Usage Mv.:.. ,
...._._.._LQd!Y-:!.�l=..-_... .._...l.ab.5ink. ........ ... ..... _ . CstchBasin._._._._....._. Misc�Fbmires _....
�lectric Contr�.ctor. (fo�projects not requiring an El''V Form)
_.. .. . ._....:_.._.... . . ..._.... . ._......_:._.._...:...... . . _.. ... . . . ... . ;
� � . ° . . . .._.. ._._..-�---. _.... . _..... . . . .. -- -.....
LTse'�%Nature 6�Work .� �. . . . . . !
Size Material 'Type #. Conn.Type � � .
. ..
Sanitary Sewer . . �
Storm.Sewer . � � . .
� Water SezYice . .
� � � 06/09