HomeMy WebLinkAbout0157659-Plumbing (new acrylic shower) � CITY OF OSHKOSH No 157659
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 221 LAKE POtNTE DR Owner GLADYS C RIETZ Create Date 09/11/2013
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 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
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 6ct 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 acrylic shower base
of Work �
"debit acct'*
Size Material Type # Conn.Type J
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0614407514
Valuation $400.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided;
Issued By �/VJ1 Date 09/11/2013
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.
Sep. 11. 2013 :11 : 05AM.: . � REBATH CENTRAL WI 9203035935� :. � �. . No. 4529'!• P. 2/4�i :
:. . � . � . ,
. . : .. � , . � . Plur�bir�g �eR-r�it A�R[��ati�n ..
' - . . . . , oN r�� •.�,.,�R
::. Z heceby apply:for.a peimit to.do.and install�hefollowing p)um.bing on the premises hcreiniat}er.described,tl�e work to conform.to the
Wisconsin State Plumbing Code;in tbe performance of which al]parties hereto agree to.and are bound by said statutes.
� �: Applicarion(s)and fee{s)can be broughtto,City Hall,Room 2OS ormailed to Inspection Services,PO Box 1128,Oshkosh WI
; 54903-1]28. Co�nmencing woric without permrt(s)willresult in fees being doubled or$100_�0 plus the normal.permit.;6ee,wbich
� , ever is grcater. � , .
OR '. �. ' .
I oae ate a cnnttact r urlrci r�n in !he erm�t Fee flccount S �tem and have ade uale unds check here
f vnu want thic roce sed[hrou h our'accounr
**AdvisoEy-�'or apglieable projects, aa Electrical IzzstaIIatron Perifica�¢an(EIV)f�m, si�ed�y the E1ectYica!
Coz�traefor or�ouseowaer(far iastaIIations atlo�ed to be performed by th�e hameowner)�aust be sab�itted �
with the petx�iC appl��ation. AppFicat.�ons submitted without an FIV.when sueh rs rec�.ired, wiil nat be `
processed�or Perntzt ZSSUar�ce and wi�l be zet�uned for comple�aion.
Job.E1.dd7�ess 1 �� ��f Val�e(Includiog labor�d�rie�s> d -�� TJate�".�1 ' /�
Own.er.. S Contractur�jL15�1���no..s ..��u.�l-tonS t7� ���G�.�
�`�ingle Fa��ly dbup�ea []Mul�-Family [�Rental ❑Comtnercial
❑��ustrial ' ,
Number a�Fixhtres: .
Bathtub .' 3ump Pump Plssxr Sink' Roof Drain
Shower �I San.Sump/P� ScullerySink SodaDi
'D
n'hirlpooi Waner Softe�r S«vice 5ink Cou'ee?vikr
iavatory Srffi►dpipe Rec Shamp Sink � Shc Dra;n
To�7et , . '
Gsrage FD . Surgcons Sink: Waiors Stn
Kit Sir�k Local Waste Sccrtllzu . , :
Ice Ch�t
���� Bat Smk RPZ Valve Comm Ice Maker
Dishwasher � BrealQm Sml:' . -Didet � , IaL Grcase T�ay
Floor Drain Classrm Sink. . Urmal Fxt Grcase TraP .
Hose Bibb Exam Sink . IIeer Tap . . �ye Wffih Sm ' ' '
WaterHeuler , FPnp-Sink DipPcWoll Deduc[Meiu �.
•:,0 Gas 0 81ca O.PwrVirt Floor Sink, Drink,Fn� � . ' Wtr 3cwer Mu
Clotfies Wshr ' • .. . . _..... .
. ...._.. .. .. Hand Siqk. --•---... Wash�nfi._.....
. . • . .... -. _...... .. --.... .. .
_... Lndry Tray_.-•-. .._.._.... . Lab Smk,._. ---Catc6 8asin.----..._:. ... • --.
'VJtr Usagz lyv
_ : . . .. . ...__ --
. . . _ ._....... t�tisc.F�xwres.--. . -� ,.._
. . . • . ' .. . ....
.�fec�c.�om�rac#or(for projec�s no�req.�r�►g an��V�'o�r�►)
. . .. .. . . . .. .._..__.._............. . .. _ . .
---�-�-- - .. ... . ... . - � ---..._...__..... .
� ,: . . . .. .. . .
Use J Nat�tre Qf�4'ork. . . . . . :.. . �.� . . . ,... .. . ... � .:.__:,�...._. ��-- -_
. . . .
Size ,. Materisl Type . # Conn.7tioe
. Sanitary Sewer � . ' . . • :
Storm Sewer � . . ... . .
. Water Service , .
. .
. • � . D 6/09 . .... :