HomeMy WebLinkAbout0156705-Plumbing � CITY OF OSHKOSH No 156705
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 860 HERITAGE TRL Owner LARRY O/KAREN L TRITT Create Date 07/15/2013
Contractor REBATH OF CENTRAL WISCONSIN Category 410-Residential-Interior Plan
Inspector
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 Flr/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 Trep 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature SFR/bathroom remodel
of Work
"debit acct'*
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0613900000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided j
Issued By Date 07/15/2013
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 worlc
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.
, .�u1, 15, 2013� 2; 08PM REBATH CENTRAL WI 9203035935 � . No 4367� P 2/3 �
usnxosn;:wl5wyuj-1 l�d� . . � .
Phone:(920)236-5oS0 � �� .
Fax::(920)236-5084 . _:. � � O�K �H .
, ON TNE WATER
. . Plumbing Permit Appl.ication. '
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to c�nform to the
VJisconsin,State plumbing Code,a►the per�onanance of which all parties hereto agree to and are bound.by said statutes.
• Applicdtion(s)and fee(s)can be br.oughtxo City Hall,Room 2fl5 or mailed to lnspection Services,PO Boz 1128, pshkosh WI
54903-1128. Cominencirig work without permit(s)will result ui fees being doubled or$100.00 plus the nocmal permit fee,which
ever is greater_ .
. OR : .
I au ate a contraclor artict atin in !he Permit Fee Aecounl S slent arrd have ade uale unds check here
if vou N�ant lhis,processed throu h our account
**Advisory-For applicable projects, an Elec�ica]Xnstallation Verafication(E�form, signed by the Elcc�ica.l
ContYactor or Honaeovvner(fox installa�ions allowed tv be performed bp the�omeow�,er)mnst be submitited �
�vaith the permit applxcation. App�ications submitted without az�ETV when snch is required, wi11 not be
proeessed�or Permit Yssuance and will be retumed for completiox�. � �
Job Address Y� Va�l1C(Includinglabor�tdmaterials) � �-� ^� Aate `1- 5
Owner I Cahtt�aCtOr At�in"f"h6rn[1 c.�n�L�1� � P ��q�d�� ,;
�Siagle Family �Duplex ONlulti-�'amily []$ental ❑Commercial
��ndiistria! .
Number of Fixtures:
Ba�tub SumP�mp Plaster Sink Roof Drnin �
Shower � S�,Sump/Pump , � Sculicry Sink Soda Oisp �
Whiripooi WeberSoftcaer Sorvix Siak �oiiee h�tkr :
Lavatory S�dpipe Rec Sdamp Sink Site Dram
Toilet G�agc FD . ' ' Surgeons 5ink Waivs Sm
Kit Sink Local Waste Sterilizer • lx Chest
��T1°� Baz Sink RPZ Valve Comm Ice Melcet :
Dishwas6ct � Breaknn Sink , 'Bidet 1nt Grezse Trap . •
F7oor Ihain Classm�Sutk Urinal Ex[Grease Trap
Hose Bibb F.xam Sink Seer 7eP Eye Wash Stn '
Water Hearer F Prep Sink DiPDw Wcll � Deduci Mctw
0 Ges D Elect O.�rVnt r��Sm� Drink Fnv�' Wv Sewer Ma
C,'loihes Wsh; . .HandSmk : )?!is,sh.�l!fi.. . __..._:..._... WvUs
_ Lndry TraY . . ...... . Lab Sink.._. .... ..---._..._.._. ....._.Cstc6.Ba4in__...._....._ .' .... ....._.._Miac F�ucfuresff . _.._. _
Edectric Coadraeto�r(for projects not requi�ag an EI'V Form)
.. . .. . ... .. . . � ..
. . ......... .. . . .. ... .. ..._...._..... .
. . .... ...
.. .
lJse%Nature of Work �I 1�Y S . .----. _
Size �Material . Type .# Conn.Type
Sanitary Sewer � � ;
Stoznn Sewex . .
Water Service �
� ' 06/09 .