HomeMy WebLinkAbout0157661-Plumbing (shower) � CITY OF OSHKOSH No 157661
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2600 HAVENWOOD DR Owner THE HOMES OF HAVENWOOD VILLAGE IV Create Date 09/11/2013
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
Whirlpooi 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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/CONDO UNIT B/replace shower unit
of Work
'i"debit acct"
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
Valuation $500.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided I
Issued By ,?� _ Date 09/11l2013
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.
Sep, 11, 2013 11 . 05AM� : : REBATN CENTRAL WI 9203035935 • : > ,:� �., :.. No. 4529'�' P, 4/4!� '
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ON T..
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. . ` , . . �Iumbing Per�it:ARP[:icatr�n . �. .
� I hereby.apply.for a permit lo.do and`instail#he following plumbing on the premises herainafter described,ttie work to�confoi�m.to the . !;
. Wisconsin 5tate Plumbing Code,in tbe peirf'ormance of whicJi all parties hereto agee to and are bound by said�tutes:.
` � Application(s)and fee(s)ean be brought to Cit3�FIaII,Room 205 or mailed to Inspection SerJices,PO Box 1"128,Oshkosb Wl`
54903-1]2S: CoIIUnencing work witliout permit(s)will.resnit in'fees being doubled or�100.00 p'lus the normal.permit fee,which
.. ever is.greater. ` :
�. OR � .
Itvou are a coniractor ppr(rcipatl� in lhe Permit Fee Aceount S slem and have ade uare funds. check here
r vou wanl lhie rocecse.d throu h our account --
**Ad�vi.soYy-�'ar apglicable projects, an�Iec�ical7asta�Zat�an Yeri&catnQt�(EI�for�a,si�ed by the EIect�eai
Coz�tx.actor or 17ozneownez.(for iastalla.�ioas a11oR�ed to�e pczfo�med t�y�he F�ozzzeowner)rrzust be sutfm,�tted
with the perm.it applica4ion. AppFica�ivtts submitted witFiout ara E�V�vvben sucla is rec�uire�, wiFl zto[be
��rocessed foY Peamit Issnaace aud wi11 be rct�tned for com�letio�t. � , .
�Job A.ddres � �'Ic7V(,n W 00� �r �'�� � � � I ���
VAIII@(Including labor a��d materi�ils) D� . 0� Date �
. Owner ��� Contracfior �'�,5�(1�1bfhQ.:S ;S�'j�t,�,-�10N1���� ��'e,�•j,0.� `;
,Q�Siu�le Fa�mil bu�lex �NCuati-Family �Rental [�Commercial ��ndi�stria!
�c�rdo�
Num,ber o�Fixttires; .
Bsthcub Sump P�unp YlascLr Sink Ro�f Drain
Shower ��� $ea Sump/Piunp Scullery Sink Sods Disp �
Whiripnui Waner SoRcnex Service�mk Gotiee MIv �
Iavatory. St�dP�.R� • Shamp Sink Sitc Dram
� Toilei . Gara�e FD . - Sur6eons Sink, � Waius Stn
Kit SirJc Loca!Waste Stcrilizcr • Icc Cheat '
Disposal ,Bar Sink RPZ Valve • Comm Icc Maka �
Dishwasher . ' Brealam Sink ' 'Bidet . Iat Grease Trdp
F1oor IhBin Classrm SIDk . Ullnal F�¢Groase'fr� �
Hose•B36 E�n Suilc . Beer TaP ' Eye Wash Str�.
.. Water Her�ter , F Prea.Sink' Dipper Well ^.M • Deduct Meter .
• �Gas 0 Elcct�.P.vrVrrc I'loor Sink. . Ihirik Fnm . Wtr Sower Mtr .
CloUies Wshr � Hand.Sink ' .W.ash Fntn--_ . .
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. . ....__LndryTraY_._...... ......:... �bSink-..__.. . ----CalcbBasm .._:_._._,_._. . ....--..'_._.Misa�saFiwr�tr_... — -
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E)ectric.Cozat�actor(�or prajec�s not req:wsi-ffig a,n E�Foren)
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�'se I1�$tr��e of Work.. :. : . .. -. .:.-:�_ ... .- --...:..:..:__..:. ::._... .-- _..: . �
� . .. . . . . . .
. Size � Materia]" . `I'ype � . . Conn.Type . .
�Sanirary Sewer . . � . � .
.Storm Sewer . �
. Wsrer Service , . �. : . .
. . . .. . . • , : . 06/�9� . ...
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