HomeMy WebLinkAbout0157094-Plumbing (shower) � CITY OF OSHKOSH No 157094
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 W 6TH AVE Owner PHYLLIS M PUTZER Create Date 08/05/2013
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 MVs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RP2 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. 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
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
Parcei Id#
0604300000
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By ���^�- Date 08/07/2013
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 entryj,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.
Aug. 2. 2013�• 1 : OOPM� REBATH CENTRAL WI 9203035935 . . �. No. 4414 �P. 2/2
�t'�10I1e_(YZU)"1.f0-JUJU � . • �
: ��_�9zo>�36_SO� : . � .: �� � � o �KO .
. . . Plumbing Permit App[;ication . ..oN 7HE WATER
. I hereby apply for a perrnit to.do and install the following plumbing on the premises hereinafter described,the work to conform to the
. . Wisconsin State P1unn,bing Code,an the peiformance of which all parties hereto agree to and are bound by saiid statutes.
• Application(s)an,d fee(s)can be brou�t to City Hall,Room 205 or mailed to Inspeetion Services,PO Box 1128, Oshkosh WI
54903-�12g. Commencing work without penrnit{s)will result in fees being doubled or$100.00 p)�s the normal.permit fee,which
. ever is greater. . . �
. . OR
I ou are a cont►-aclor artici atino in the Permit Fee Account ,S stem and have ade upte unds eheck here
i{vou want this proces�ed ihrough vou� accnunt .
**Advisory-For.applicable projects, a�x�lect�rical�stal�aCion Verificatron(EI�form, sxgned by the Electr�ical
Contractor or�omeowneX(for mstallations allowed to be pexfoz�med by the homeovrner)rr�vst be submitted �
with the permit application. ,A,pplicauons snbmitted without an L�'whex�snch is required, will not bc
processed for Pez7mit Issnance and will be ret�ned for com�letion. � �
Jok�Address W. �'��h„��Q��Q Va�U6(Including labor and ixaterials)' � DB�C 'Q -
p�wner � COntrsict4r U �. � • y.�r :
�Single�'amily []Duplex QMnlii-�'amily �Rental ❑Commercisil
[�YOdustrial � ,
Number af Fixtures:
��b 3umpPump Plastcr Sink RoofDra;n
Shuwer � Ssn,Sump/Pump � Scullery Sink Soda Disp
vJhirlPool Waber Softener Semce Sink Coffee Mkr
Lavatory. $tandpipe Rec � Sbffinp Sink Sitc Drnin
� Toilet G�agc FD . � � Surgeons 5�k � Waitrs Stn
Kit$ink l,ocal Was(e Stcrilizer ' Ice Chest
Disposa! Bar Sink RPZ Valve Co�mn Icc Maker
Diahwasher BreHlain Sirilc 'Bide[ Int Cmcasc Trap
Floor Draia C�ssmi Sink Urinal Ext Groase Trap
Hvse Bibb ��Smk Btxx Tap Eyc Wash Stn.
Wetea Hcater F�p Sink Diyper Wcll ' DeduCC Met�r
❑Cras 0 81ect�PwrVnt Floor Sink Urink Fnm Wu 3cwer Mtr .
.:.: .CIo1bGS Wshr H�d$ink . . Wash Fntn ..._... . . . ..... WP Usage Mtr.
.. ..
._....-.�M'_T�Y_-•-.• L�b.Siak-- . ..... . _ . .. _.__.Cafch.�a4in . .. :_......_.�_._ . ...,.. . MiscF.i�res ._.. ... .
Electric Contr$ctor�(far projects not requiring an�I'V Form) �
. ._.._.._._._...._ _ . ... ....
...._.. --::-:;...---.:.........:... .... : . _ ... . . . . ...
. ... .
Use/Natu�e o#'Work ��,°�V.. . . _.....--�-��-------..__._.._..... . .. -_.�:_ ...
� � Size Material . Type #: . Conn.Type
. .Sa37it3ry S2WeT . �
Storm Sewer . �
Water Service � . � �
' . 06/09