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Home My WebLink About0157422-Plumbing (kitchen sink) � CITY OF OSHKOSH No 157422 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1283 WHEATFIELD WAY Owner MICHAEL UMARY L VANDERMUSS Create Date 08/26/2013 Contractor HOMEOWNER Category 413-Res-Interior(Replacement Fixtures) Plan Inspector Jon Mueller Bathtub 0 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 Whiripool 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. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � Fixtures ' Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0 Disposal 1 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 GreaseTrap 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\Set new kitch sink in new counter top(re-using disposal) of Work Size Material Type # Conn.Type Storm Water — Parcel Id# 1341170000 Valuation $1,197.89 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided I ' Issued By � Date 08/26/2013 � The undersigned,in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the principle residence of the undersigned,hereby acknowledges,per Wisconsin State Statutes,ss 145.06,that other individuals will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing the work involved must be covered by a permit issued to a properly licensed Master Plumber. In the performance of this wo I agree to pe rm all work pursuant to rules governing the described construction. Signature Date �/�/ (.3 AgenUOwner Address 1283 WHEATFIELD WAY OSHKOSH WI 54904 7401 Telephone Number 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. 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 Ciry strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. City of Oshkosh Inspection Services Division � P O Box 1130 � Oshkosh,WI 54903-1130 Phone:(920)236-5050 Fax:(920)236-5084 �� ON THF WATFR ' Plumbing Permit Application I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be bmught to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here �vou want this processed through vour account n **Advisory-For applicable projects,an Electrical Installation Verification(EI�form, signed by the Electrical Co�ractor or Homeowner(for installations allowed m be performed by the homeowner)mnst be sabmitted with the permit application. Applications sabmitted withont an EIV when sach is reqnired, will not be processed for Permit Lssnance and will be retarned for completion. Job Address j Z 83 ��e�/�ie�c��a� Value(��i�a�g��,a�,�;�s> �� y 7, �q Date �L(� / ! Owner /�i ke v�� c�c �r„v s s Contractor �Single Family ❑Duplea ❑Mntti-Family ❑Rental ❑Commercial ❑Industrial Number of Fiztures: . Bathtub Sutnp Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softernr Service Sink Coffee Mla Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Strt Kit Sink � Local Waste Sterilizer Ice Chest Disposal _L Bar Sink RPZ Valve Comm Ice Maker Dishwasher Brealam Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ea�t Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Sm Water Heater F Prep Sink Dipper Well Deduct Meter ❑Gas�Elect❑PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn WV Usage Mtr Lndry Tray I,ab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form) Use/Nature of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09