HomeMy WebLinkAbout0157566-Plumbing (bathtub) f
� CITY OF OSHKOSH '
� No 157566
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 805 EVANS ST Owner MICHAEULAURA HOFFMAN Create Date 09/05/2013
Contractor REBATH OF CENTRAL WISCONSIN Category 413-Res-Interior(Replacement Fixtures) Plan
Inspector Jon Mueller
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 FldWst 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
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/replace bathtub
of Work
"*debit acct**
i
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel id#
1106720000
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided''I
Issued By �VL� Date 09/05/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
� � • 5ep. 5 1013 , 9, 57AM REBATH CENTRAL WI 9203035935 . � No, 4517� � P, 5/5i � �
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•, .: .: ... . . ... �: ' � . . ON'Tkr w�TER ;
.. .. . . ,
;.• ;
P ur��ing Perc�.i� A���licatiQn � : ..: . .
. I hereby apply for,a permit to.do and install the following pltimbing�.on the premises hereinafter described,the work to conform to the�
. . : 'VVisconsin State Plumbing Code;in the pe=formance of wluch a1)partics hereto agree to and are bound by said sranrtes: .
�: .
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� � � Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO B ox]128,Os}�lcosh WI �
54903-1128. Co�mmencin.g work vuithout permit(s)will resu�t in fees being doubled or$]00.00 p�us the normal pennit fee,which
. �.�everis.grearer_ , ,
OR � � �
1'£vou are a c.ont�aGtor narticinatiri��i� the Permit Fee Accoun! Svstem and laave adeouale {uhds. check here
� vou wan[ rhts rocessed tbrou h our accovnt . —
**�dvisorY-For a�aplieable projects, an Electrical Installa�iQn Veri�cati.on(El�form, sf�ed�Sy the Electri�aI
Contractox oz Homeowner(for�stallations a�lowed ta be perFormed by�he bomeowner)zzz�st be s�bmitted �
. with the permit app3ication. „Fi,gp�ica.tions submitted witho¢t an EFV v���Cen s�cb is rec�uired, wiIi not be .
processed for Pexniit Issnance an,d wiIl be retamed for completxon..
5 . �° � p�
�Jo b tl.ddxcss� ���� c�fi' V�lie(]ncluding labor end materials)�-t' D��• Q� Uate l,�j
Owner �t�i ?:1'� Contractor�i,l�}'(n ►I101r�5 ��r-}-�q�5 ��,� .��`�, .
�Single Family QDuplex �1V�ulti-Famul� �Rental ❑Cot�nmercial Q��itstria!
Number of Fixtures: '
Bsthmb �,, SumP�NR Plastc[5ink • koof Drain : �'
Sbower S�.SumP/�+mP Scullery 5ink •Soda Disp
�V6idpool Weba 5oi1oner Setvice Sink . CoHFx i.ti:r
Iavatory St�dpipo Rcc Shamp Sink Site prain
Toile�� Gare�e FD ' S rnns Sink .� '
� Weitrs Sm
. TCit Smk � � Local Waste . Steritizer lce Chest •
Disposa) . � BarSink. RPZ.Valve CornnilceMska
Dishwaslter Bre�krm Sink , 'Bidet . .,lntGrease Trap
Floor Dr,�in Classrm Smk Urinal ' Fa¢Crrease Trap
.
No6e Bibb ' ' Ex2m Sink Bxr.Tap . ,. •
Eye Wash Scn
Walr,r Heater� . g pceP Smlc 1�ipper Wdl Dedua Mctcr .
0 Gas❑Eletx�PwrVn[ Floor Sink 1Jrink Fnti� ' W�r Sewer Mtr --
Ciotlies Wsl�r Hand.Smk.. : '. " ... . ..... . ..._Wa�h Fnfi. ._.._�. '
---._..—l:n_d!y_T*�'_.. .. . _.........• .Lu6:Sink--•......_ . ... ....... .. -- •— - ... _ .. �_._ .. . --, -
..... v
W Fsage M
. . .. ,.CstchBasm . ..... ... --._....--• -- �� �
.
, xturrs.. ...
.......... ....... . .. .. . .
LIec�ric..Cois�racto�r{f�r praje�s r�ot req�iring ao El V�or�) . . .' . . -
� __:._.:-=---...._._... ..;;.. ... _, . .
� . . .
. . .._. _..... ._.... ..
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, ' . ....
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�7se7l�a�tiare.Qf�?Vork:. . . ... _.. :.......: .:......,.:. .
• Size . . ' Material ' 1�e . , '# . Conn.1}pe
S'SIliYBry Sewer . . . �
Storm Sewer. � .
� .Wates Servicc . � . �
. '. . . '. . • 06/09 . :
' , , . . � .