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HomeMy WebLinkAbout0157564-Plumbing (shower & floor drain) � CITY OF OSHKOSH No 157564 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 13 W BENT AVE Owner JULIE K HENDERSON Create Date 09/05/2013 Contractor REBATH OF CENTRAL WISCONSIN Category 412-Res-Interior(New/Relocated Fixtures) Plan Inspector Jon Mueller 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 FIrIWst Sink 0 Bidet 0 Site Drain 0 Misc. p Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 1 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/new shower and floor drain of Work "debit acct'" Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1502960000 Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'� Issued By 71N� Date 09/05/2013 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. Sep. 5 2013 9: 56AM REBATH CENTRAL WI 9203035935 .. . No. 4517i t� P, 3/5 � � '. � � ' ' . .. . ' , ON TMh,�VATER��. . •, , . . . . . . .: .. . . . . • .. • • ' . ' • . . � . . . . � ., Pl�r�tb�r�g �Pee�rnit /�pplica�ior�.�:' .: . - � .. ,. � ; :: . : �. ::. I hereby.apply�'or a permit zo.do,and iriscall the�;Followmg pl►unbing on the premises hereinafter described,the work to conforn,to the : . W'�sconsin.State.Plumbiag Code;in the�erPormance of which all parties hereto agree to and are bound by said�statutes. ' • Application(s)and fee(s)ean be brou�t.to City Hall,Room 205 or mailed to Inspecfion Serrices,PO.Box 1128,Oshkosh WI 5�903-1128. .Comznencing work witboutpermit(s)will.result in fees,being doubled or$100_OOplus the normalpermit.fee,which . - ever is�eater_ . . . . aR . . . . . . I�vou are a .contractor pnrticrpatin� i,r the Per�nit Fee Account Svsteni orrd laave adeouate funds. chec.k here � nu want tkfs rocessed �hrau h ur accou�ar , **Advxso�ty-For applicable projects, am�ectxzcal Fx2staIlat�Qn��cr�eat�on(EI�form, sz�ed.by tI�e Eleemicai Contractor or IIomeowx�er(for iastaFlations allowed tv be�e�ifoz�med hy thc humeowner)r�tust be submitted wi�h the permit,appl�catian: AppFi�ations sIIb�itted without an�'V w�,ez�such is reqused, will a�t be �rocessed for Pez�it Issuanee�td vvi11 be r ed for completioa. � � �31,c� /�r��'� �9�� � � D0� �D n ; •Job Address ValuC(]ncludina la��r�n1 m�tcr�als) � ]�gf� � 5 i� Opvn.e I�I� �,� � ~ � G�1 `� Contracior�1�45 �e1�naS � �5 OSingle Family QDuplex �M►rlti-Family �Reata! ❑ComuxerCxal [��ndastriat � . Number of Fixtures: . ���. . $ump pump Plaster Sink ' Roof Drem Shower , �� San.Samp/f'ump Scullay$ink Soda D' . uP Whiripool Weber SoRcaer 3ervice Smk C:orFce ivficr Iavatory St�dP�Rec Sharnp Sink Site Draiu ' To�7et' G�agc FD. Snr�Ons S►nk . Waiffs S�i - ��Cit Sink Local Waste St�riliur • Xce Chese b�� Bac Sink RPZ VNrc Corom Icc Malcer • �Dishwasher Breal�m Sink 'Bidet . Int Grea9e 1}ap• Floor Drain ��� Class7m S�k , Urinal Fx�Groasc Trap Hose Bbb Ex�Sink Heer Tap Eye Wash Sm. . Wa[ex Heater F�P�Sink ' Dipper Well • Deduct'Meter ,�Gas D Ele:ct 0 pwrVnt' Floor Sink Drink Fnvi Wtr S�wer Mrr' . .Clotties Wshr • HandSink' _ _._.__.. . WashFntn ... .. _:_... _Wtr�SageMrr,�. _... . . . ..Y , _.....: Ls6Sin$---....... .. . _—CatchBasin _.. . _.M�saF.11aur ' .... L:ndry.�'ra... • _ . .. ...--- . . .. . .. - . -; — ��-- �.' ' • .-- , .. .. ... . .. . • . ••.. ��ecfr,ic..Coatrac�o�(for�ro3ects not req�ie-i�g�� �F�?JF'or.�) � � . ... ... . . .. . ....... .._. ..,..__......._...__ . .. .._.. . . _ :... .. . � . .. . . .. . . .... _.._. _.... . ... . . iJse/Nsture of!�V ork � . . . . .... .... ..:.....:..;.:_,�. _: :. � . ..---- �-. �— ._.._....... .. .....--- ----.. . . � � .. .. �. .. �ze_:-..._.._._.._..:�Material�. . ' . T'ype , # , ,� . Conn.lype .. � . Sanitary Sewer : . . . � � � ; . . . : . . . . .. StoIII1 Sewei : Q✓ater Service. . . . : . . : .. : . . . . '. . � ; . . . � � . �6/09 ..