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Home My WebLink About156873 Plumbing (bathroom fixtures) � CITY OF OSHKOSH rvo 156873 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER �'-C�-�3 JobAddress 353 W SOUTH PARKAVE Owner -tHoMAS J. Oa;er Create Date 07/25/2013 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 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 1 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 1 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 Drein 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 FR/new bathroom fixtures of Work 'debit acct'"` Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0904140000 Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided � Issued By Date 07/25/2013 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 -41D4 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. � CITY OF OSHKOSH No 156873 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 253 W SOUTH PARK AVE Owner THELMA J SMOOT Create Date 07/25/2013 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 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 1 San Sump/Pump 0 FIr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0 Toilet 1 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/new bathroom fixtures of Work '"debit acct'" Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0901470000 Valuation $400.00 Plan Approvai $0.00 Permit Fees $30.00 ❑ Permit Voided� Issued By �Z►y� Date 07/25/2013 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 piease 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. Jul, 24. 2013�1c 1 ; IOPN�n REBATH CENTRAL WI 9203035935 No. 439�: 1/1 POBox 1130. � Oshkos�,WI 54903-1130 Phone: (920)236-5050 , . � . Fax:(920)236-5084 . . O ��(O �I �� i � ON 1'He w�TE� Plumbing Permit Application � I hereby apply�or a permi't to do and install tI�e following plumbing oa the premises E►ereinafter described,the work to conform to the Wisconsin�State Plumbing Code,in the per�orrnance of which all parties hereto agree to and are bound by said statutes_ � ,Applicatiom(s)and fee(s)can be brought to City I3all,Room 205 or maifed to(nspection Services,PO Sox 1128, �shkosh WI 54903-1128. Commencing work withou�permit(s)wiIl result in fees,being doubled or$100,00 plus tbc normal permit fee, which . ever is greatex. . OR . If vou are a cnntraeto�,participating in the Permit Fee Aeeount Svs[em arrd have adeguate unds. check here i ou want thi� roeessed throu h our acc unt ' ' *'�Advisory-For applicable projects, an�(ectrical Installation Verification(EI�form, signed by the E�eetrical Contractor or�omeowner(for installations allowed to bc perFormed by the homeowner)mnst be submitted � wirh the permit a,pplication. Applications snb�nitted withoax an EIV when snch is rcqu.ired, will not be processed for Permit rssnance and will be retu�rned for completion. Job Address "�J f,C�. SO yZJd�aI118(Inclading Iabor�nJ materials) ��'� bate��1 �,�-J3 O�vner ��r Contractor U �� ❑Single Family ODuplex ❑Mult�-Fannily ❑Rentat ❑Commercial ❑Indilstrial � Number of k'�xtures: . Bathtub • Sump Pump Piaster Sink Roof L)rain Shnwer J� San.Sump/Pump Scullery Sink Soda Disp "rJhirlponi Water Softener Swice Sink Co�ee Mkr ��aw�Y + _ Standpipe Rec Shamp Sink Site Draia Toilet ► __ Garage FD • Surgeons Sink Waitra Sln Kit Sink Local Wasbo Sterilizer Ice Chesc Disposai Bar Sink RPZ Yatve Comm]cc Maker Dishwasher Brealam Sink 'B idet . Int Grcasc Trap � Flvor Drnin Clacstm Sink Urinal Ent Grcase Trap Hosc Bibb �x�S� Heer Tap � Eyc Wash Sm Water�Iester F'Prep Sink Dipper Well � Ucduct Meter ❑Gas 0 F1ect d Pwr'Vnt . � Floor Sink Drink Fntn Wlr 3ewer Mtr .._. .__._.Clothes Wshr . Hand Sink. Wash Fntn . .. . . .,. ., w�Usage Mv __... y.n,d,ry_Tmy_ .: Lab Sink . Catch B�sin Misc Fixtures ., Elcctric Contractor(for projects not requiring an E�V Form) --- � . . _. .. . . .. . Use/Naturc of Work ... ...... .._ . . . . ...... .. ..---.._......_... .. . Size Material Type # Conn,Type Sanitary Sewer � � � ' � Storm Sewer � Water Service ' 06/09