HomeMy WebLinkAbout0157342-Plumbing (shower) � CITY OF OSHKOSH No 157342
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1349 LIBERTY ST Owner MARY C HIELSBERG Create Date 08/21/2013
Contractor REBATH OF CENTRAL WISCONSIN 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 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
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
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 shower — �
of Work
*'debit acct**
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1206220000
Valuation $500.00 Plan Approval __ $0.00 Permit Fees $30.00 ❑ Permit Voided�
Issued By ��'V` Date 08l21/2013
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.
, Au.g• 21 . 20132:11 : 22AM REBATH CENTRAL WI 9203035935 .. N .; No 447�P.�E 3��.
� � ��
� �. . . � . P�urnbing Permit�Appi.ica�iQn.�. �. ' . �
Y hereby apply for a peim�t to.do and mstall the followmg plumbing,on thc preinises hereinafter described,rtie work to conform to the
Wisconsin State.plumbing Co.de,in thc pcifomiance of which sIl parties.heret�agree to and are bound by said srfin,tes.
�. Applicaii�n(s)and!'ec(s)can be brought.to City`Hall,Room 205 or mailed to Tnspection Services,PO Box 1125,Oshj;osb.WI
54903-1128. Com3nencing work without permit(s)will result in fees,being doubled or$100.00 p)us the normal permit fee,which
. ever is greater. � � .
. . OR . .
J�ou are a cant�acror partrcinatinQ in the Per�,ei� Fee Acr.ounr �Svstem and l�ave adeouate tunds, check here
i ou want rhis rncessed throu h our accnunt .
*'�Adviso�p-For appl�eable pro,�ec�c, a,tt�Fectriezl�zstaJls�iQ��exificanag(EI�f�rni,sigYted by the Electrical
CoatracEo�r or Homeow�.er(far instaRati�zis allowed to be pez�dz�r�ed by the homeowner)must be submitted
av�th the pe�zt apglica�Qxt�. AppIicaiions subanit�ed wi�th.ogt an��'V when such is zecFv3red� wili not bc
proce,csed for Permix Issuaz�ce and'w�l be retnrned for cQmpleiion. �
.�Ob 1�C�C��CSS 13�q l.i i �re�� VBjLEC(lncluding►abor and mauriats) �`.�00 � ��te QV-o��� �
Owrxer �i�_�l�Q�✓ � Contractor )7uS`�i►7�'l.a���(��-16nS l, � L��1 1��� . ;
❑Single Family �D�plex []1Vfulti-Family Dl2ental ❑Commercial �
��bdustrial
Nwoaber of Fiztures: � .
B�� 1, Sump Pump . Plasler Sinl: Ruof Draih .
Showv Jc San,Sump/Pump Scullay Siak Soda 17i
SP
v�nirtpooi W�,cr Sofirner Secvice Sink �oliex ivikr
l,avsbo�' St�dpip�Rec Shasnp Sink ' Site D�ain
Toi1�t �g�� ' Su oeoas Sink; Waitrs Sm
Kit Sink Local Waste SttrilQer Ice Chcst
-Disposal Bar Sick ' RPZ Valve • Comm Ice Meker
Di�hwasher ' Breal:rm Smlc ' 'Bidct I�n Grease Trap '
Floor Drnin ClxsSrm Sink. Urinal. �xt Cmase 7'rap
Hose Bibb . ��Sink , Becr Tsp. . Eye Wash Sm
wsier HeFller , F�P Sink Dippu well . bcdu�x Metar • '
...:`�0 Gas❑Elec[0 PwrVdc , Floor Sink �Drink Fnm wa Sew«Ma
. Clofhcs_Wsh1' ra. .i :.�. . _...-°'�__
....m.,S..... • .• ... .
_ --•--. . dazu.�tu� . ... .. . _......._..._.:...WGrus'�°4.MQ
_:.._.—i�S!_d!y-Tra)... _.....:_. I�b_Sink—.._._......:.... . .. •• ----Catch:Basin.-----..__'.'. .... _�lisc.Fixtures.... .. . ... --•-
. _...._........_.. .
�Iectric.Co�dr�c�u�r(f�r projects.not req��ifiring�����i�'arm) _- --. :
..... -----._.._..._....._....... .. . . .. ..
.. .. .. . ., . . .�...._�:.:.:__.:::_:-. .:.:. ,.....�:-:_-..—. . ..._ _ ... . ..... .. ._...... ...... .. .
... ... .. _.. .. .
�7�ture of Work ' _ .�l . : . . .... :. .. .. -=----_._...:._._.::.:::.:...._.,;.. .. . . : .---.... :..:.. ...
...._ . .
.. CW .
� _ Size : Material Type #. Conn.Type
�Sanitary Sewer . ' , � : ..
. 5torm Sewer ' . : .
Water Service . � : � . � .
, � • . 06/D9' ' .