HomeMy WebLinkAbout0157095-Plumbing (bathtub) � CITY OF OSHKOSH No 157095
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 139 W 23RD AVE Owner MATTHEW E WEISSE Create Date 08/05/2013
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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. 0
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 bathtub
of Work
'"debit acct"
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1403110000
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided'I
Issued By ( JW�- 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 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.
Aug. 2. 2013 -12: 59PNk�. � REBATH CENTRAL WI 9203035935 � � No, 4414�P, 1/2 �
rnOne_.�(ylu�2j0-JUJU ' . . � � �.� � .
. : ��:c9?o,23�SO� � . . . .� . 1}—IKO I--I .
. ' ' ON THE WATER
� : � . : Plumbing Permit�Application .
I hereby apply for a penmit to do and in�tall the following plumbing on the premises hereinafter described,the work to conform to t6e ..
� Wisconsin Scate Plunabing Code,in tbe pei;Formance of which all.parties hereto�agree to and are bound by sa;d statutes.
� � Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspeetion Services,PO Box ]I28,Oshkosb WI
54903-11z8. Commenci�;work without perinit(s)will result in fees beina doubled or$100_UO plus the normal permit fee, which
evcr is greater. . , :
OR � �
I nu are a contracto� articr atin rn the Per�rrit Fee ,4ccounr S steirt and have ade uare unds check here .
�ou want this nroces,,sed throu,,�h vour account�
�*,Advisory-For applicable projects, an Elecr�ical�,stalYat�ion'Verifieat�ion(EI�form, signed by tbc Electrieal
Contractor or�omeownex(�or installations allowed to be performed by the homeowner)mus�be snb�miiCed �
with the permit a�plication. A,pplications submitted withont an ETV whe�n.such is rcqu.ired, will not be
processed for Perct�it Issnance a�o�d will be retarned for completion �
Job Address�� LU. y � Va]l1C(Jncluding laDor and materials)� � bate �a- 13
O�vvner lS' e � Contractor �1��}�►Yl�'10YY1Q9��i��i�in,e, :�.' �A� iC�b.Q'� `
�Single Family Duplex ON1ulti-Family ORental ❑Cor�mer�ial � ❑Industrial ,
Number of Fixtures: � '
Bathtub � SumpPump . PlssterSialc ItoofDrain '
Shuwe� Sen.Sucnp/Pump Scullery Sink Soda Disp
Whiripoul Water 5oftener Serviex Sink . Co'ffce i�iicr
L,av�tory Standpipe Rec Shffinp Sink Sitc Drain
Toile[ Cr�agc FD . Surgeons.Sink Waitrs Sm
Kic sink Loca1 waste sccrilizcr 1ce ehesc
Disposal Bai Sink RPZ,Valve Comm�cc Maker .
Dishwasher � Breakrm Smk 'Bide2 �� Int Greasc Trap
Floor Drain Classnn Sink Urina! Exi G�casc Trap '
Hose Bibb Ex�n Sink Becx Tep Eye WaSA S�n.
WaterHeuter F�D Sink Dipper Wcll DeductMeter
�Ges 0 Elect 0 PwrVn[ Floor Sink Drink Fnm Wtr Scwer Mv . :
Cloth,es Wsfv EIand Siolc . :.. Wash,Fntn ...... ...... ... . ...Wtr Usage Mtr, .
_.Y:n.urY_TnX . .. . .I�b.Su�k_.._. . ._..._.... ...----•CatcbB�sin .. ._...._ . __... .
--—.. .. Misc.F.i�aures .... . .._...._.
Elcctric Contrs.ctor�(for projccts not requi�rivag an EIV Form)
:. . _..__......_....... .... .. .... ... . . ... _ _ ..._. _....._.. _
_... . .._ ..,..
_.._
� ) . . .._.._..:._._..--�--�--�---....: . . ... ...
. ... .. _ ... ... �
Use/Nsttire of Work���d . ..._ : . .
. Size Material Type #. . Conn.Type
Sanitary Sewer � '. .
Storm Sewer
Water Service � •
• 06/09