HomeMy WebLinkAbout0157563-Plumbing (shower & floor drain) � CITY OF OSHKOSH No 157563
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 260 GREENFIELD TRL Owner EDWIN W/MARY PERRY 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 T�ay 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 FIr/Wst 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 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
Fioor Drain 1 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Eut 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 flor drain
of Work
"debit acct*'
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0618140000
Valuation _ $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By �V1�. 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
AgenbOwner
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, � Z013 : 9: 56AM .: REBATH CENTRAL WI 9203035935 . . No. 4517' �� P, 2/5i�.�� �
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: : � �Plur�bing.Pe:rr�it �ppf�caf�on. .� . �.� . � � . .
: I laereby apply for.a peimit to do and.iunstall the folldwing plumbing on the premi�es.h,ereinaf}er described,the work to conform to the� �
: . , - .� Wisconsin State PJumbing;Cbde;in the pei�formance of whieh all parries hereio,agrc•e to and are bound by said statutes:
� •� .Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO.Box l l2&,Oshk'osh WI
5A�903-1128. Commenci,n;work without permit(s)wiil result iri fees being.doubled or$100.00 pius the normal.permit fec,which
� ever is�reater. "
OR � � . . . .
If vou are .a contractor.narricinatin� in the Permil Fe.e Accounr Svste�ri ana' have adeguate, undc_ check.ltere
ifvou warzt this processed thrnuph t�our accou»t I�
**Advisory=Far applicable prdjccts; an Elecccical Iastai�a.tYQn Vcri�ca.t�on(EF�for�, signed by the Electrical
� Cox�tractor or�omeowner(for i�nstallations ailowed to be perfozmed�Sp the hom:eown.erj mnst be subm�tted.
wzr�i the pex�it a�p�ea.Eion: 1�pplicatxozzs s�bznztted wzthout an E�'V wfiert suckt xs rec�uized, wiit not be
pxocessed for Per�t Issttan.ce and will be z�et�x�xed for coznpletion. ��
Job AddressZ-� l�f�C-�rn���1 �(� ��� r,��
�2lAE(Licluding labor�nd ma[erials) � V V • � Date � � �j
` �US�i n�oma.s�a�tar�S �;ba� �
Owner . Conh-actur ��}-
�5ingle Famiiy ODaplex �Multi�Faini► Rental ��. t
y ❑ ❑Corrernercial DIndustrial ,
Number of Fixtures;
Bat�iub Sump Pump Plascer Sink. Roof Drain
Shower ,�� �g�,P/p„rt,p ScullerySink SodaDi,ry
Whirlpooi �Gaia Softtne� ' Service Sink Co11�e ivikr
InvazorY SrandP�Ra S}�np Sink Site Drain
To1le[ Gat7t�e FD • $iirgeons Sink WaitrQ Sfi
1Cit Siok Locnl Weste Suril¢cr • Ice Chcst
Disposal 8�Sink RPZ valvc . • Com.m Ice Makv
� � Dishweshcr . BrcalQm Siak' . 'Bidet Int Grcase T�•
Flonr Drain „� Class[m Sink. ' Urinal Ext Csrease Trep
F1oseBibb Exam Sink . Deer.TaA �yc Wash Sm .
Water Hea[er F Prep Sink� . Dipper Well . Acduct Meter .
. �,❑Ges 0 Elect O.PwrYti�� .Floor Sinl:, . Drink Fnm' � ' WQ 5ewer Mtr
... ..
ClotLes Wshr � �. Hand.SiNc�... .. Wosh Fnla Wtr Usagg Jytr.�
_ . ._... _. _ ......._ ..
. .. . . . . . . .. -• ...
. .... •
...---�---I..ndr�!Tray. . . ............._....i.abSink .. . . ----�atchBasin --•-•....
_....
. .. ......A3iscEixturc�._..... . . !
Eieetric.Cb�dractor (�or pro�',ects �io�requ�ring a�EI�Tr'o�) . ' ` . - . . . _
__._...____:..---.. . . . ._ .. ..
. .. .:...:. ... . ... _ ....._..._. .
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:Use��ateire of'i�V ork. ,. . ..,.. -- . .._. . .. . ., , .. . ... -- --... ��.. --. - �
.. .:.: ....:.:._..._..._.. . ...._
, . .. .5�......_ . . 1vlaferial. ... .. ; .. '�pe. ., . . . #. . ..;.. . ..._. Cbrin.Type ,. , . . . .... . ... .
� .
. . . . .
Sanitary Sewer . � , . �
.Stonon Sewer . � '
Water Service .
. . .. � .' . 06/09