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Home My WebLink About0158011-Plumbing (bathtub) � CITY OF OSHKOSH No 158011 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1640 ALGOMA BLVD Owner ANN L AUGSBURGER IRREV ASSET TRUST Create Date 10/01/2013 Contractor TUREKS PLUMBING INC _ Category 412-Res-Interior(New/Relocated 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 Whiripool _ 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 p Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0 Dishwasher _ 0 Local Waste 0 Sculry Sink 0 D�ink 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 iSFR/install bathtub as a part of a bathroom remodel of Work '"debit acct** , , Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1200390000 : Valuation $500.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided' Issued By ��, Date 10/01/2013 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 N2808 MEADE ST APPLETON WI 54913 -9576 Telephone Number 920-731-0462 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. RECEIVED City of Oshkosh � Inspection Services Division P O Box 1130 SEP 3 0 2013 � Oshkosh,WI 54903-1 l30 Phone:(920)236-5050 Far:(920)236-5084 pEPART:�IE�T OF O HK�.J H CO�I>1U�ITY DE�'ELOPbfE'.VT INS�ECTIO�SrR1'iCESDt�'iSIQ'V oN fHe wnrea Plumbing Permit Application [hereby apply for a permit to do and install the following plumbing on the premises hereinafter described,the work to conform to the Wisconsin State Plumbing Code,in the performance of which all parties hereto agree to and are bound by said statutes. • Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to[nspection Services,PO Box 1128,Oshkosh W[ � 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which : ever is greater. OR lf you are a contractor partic�ating in the Permit Fee Account Svstem and have adeguate funds, check here if vou want this�rocessed through your account ❑ **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contiractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted with the permit application. Applicadons submitted without an EIV when snch is required, will not be processed for Permit Issuance and will be retarned for completion. Job Address !��1 V �\'pwr` Va�Ue ([ncluding labor and materials) Date -1 1 V �� Owner AYt1'1 �� Contractor ��lhe�'�S {�lU� �Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commerc�al ❑Industrial Number of Fixtures: Bathtub � Sump Pump Plaster Sink Roof Drain Shower San.Sump/Pump Scullery Sink Soda Disp Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink Site Drain Toilet Garage FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm[ce Maker Dishwasher Breakrtn Sink Bidet Int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap � Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well Deduct Meter Gas Elect PwrVnt Floor Sink Drink Fntn Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr Usage Mtr Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor(for projects not requiring an EIV Form)�1�_��C-t't''1 L . Use/Nature of Work ��YY1(��,� �bY 1'!�?'`,�Y1 � Size Material Type # ��nn.Type Sanitary Sewer ��`�#, �A.r� : Storm Sewer ��r l� �}'�� -� `7 Water Service �f' PI�Se �c:hedul� Rough- ,� in5�ec�fi� fi� ��5 a-� Z�m cmd -F'r�� tn5�pe�ht�1'1 �r 1i � �3Ci3 �' 2Pm °6�09