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HomeMy WebLinkAbout0157912-Plumbing (tub & 3 lavs) � CITY OF OSHKOSH No 157912 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER ; Job Address 2455 VIKING CT Owner GERALD R/JOY TAPPY Create Date 09/24/2013 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 3 San Sump/Pump 0 FldWst 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 Fioor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0 Hose Bibb 0 Breakrm Sink __0 Shamp Sink Water Heater 0 Use/Nature SFR/install new tub and(3)lavatories of Work "debit acct'* I Size Material Type # Conn.Type Sanitary Sewer Stortn Sewer Water Service Parcel Id# 1312180000 Valuation $500.00 Plan Approval $0.00 Permit Fees $36.00 ❑ Permit Voided'', Issued By ,���- Date 09/24/2013 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 specifed 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 24. 2013 1 : 03PM ; REBATN CENTRAL WI 9203035935, . . � . . - � .No, 4582� i.P, 2/2 �,. � ' , : . ... .... . , . . ON.'�tit wni tR . � �. .:; � . � : � � . : : .. Plu��bir�g..�?er�it� �4pRlicatio�. ° - � Y hereby apply.for..a permit to do and,instgll thefollowinD plumbing.on the premises hereinafter described,the work to.con;f'orm.to the' : : �� 'Wisconsin Stafe plumbiag Code,in`the performancc of which all parties hereto agree to,and are bound by sa;d statutes. � •. Applicazion(s)and.fee(s)can be brought xo City Hall,Room 20S or mailed to Tnspection Services,PO Box 1128,Oshkosh WI 54903-11?8: Commencing worlc tvit,hout perinit(s)wi11 result uo fees being doubled or$100.00 plus tlae nor�ai.peimit fee,w}�ich . . ever is.greater. . . . .. . . � OR . . .. . . 1 ou ate :a conlractor artfci atin in [he Per►nit Fee Accou�r S stem a�zd I�ave ade uQle undc, check here � �If v�u wan[ this processed throuph i�our accnunt n . ' . '��AdvYSOry-�'or a�plicable pro3ects, an Elect�caI Iastaltatiozt Verifica.t�oa(EIV�forna, signed by the Electric�I Contractor or l�omeowne,r(foriastaI�alions allawed to.be per,fozmed�y t�e bomeowner)must be y'ubrt�itted ' with the pe�it applicat[on. Applicatiotss sgbmitted wrtho�t an E�V��hen such is regu�ed, vvi�l ztot be processed�or Pen�it Issuance aud wr�]be xe ed fo�completion. � �. : �.Tob AddressL4�5 V 1�.'-I�n �I � ��� V�lue � 7� /� (Includmg I�or and materi�l� U�-� Dgfe l 2�"T �� �Owin IcFabnil Contractot-�GS}�(1�6f1'l .y�1 'bYl ��D)'f ��A�_ .g Y. �uplez �Multi-Famity ❑�2cnta] �Conntnei•cial ��udustrial Number o�f Fixtw-es: Bat�b --L�I. Sump Pump Plaster Sink• Roof Drain Shower Saa Sump/p�P 6cullery$mk •Suda Disp nWliiripool �%ater SoRcner Service Sink . . CotjFCC ivllQ ����ory �3 5����� Se�,P S� � sil�Drain Totlei� Gar�e� , - Sutgeons Sink . Wartrs Str� ' I:i[Sink. Lor,al Waste Sieril'v,cr Icc Chest Disposal B�Sink . RPZ Vatvc • Comm Jce Maka '�Dishwasher • � ` BrcaFam Smk' . 'Bidet . � Int Cizease Trap Floor Drain � Clacsim Sink Clrinal Ex[Grease Trap . Hose Bibb B�n Sinlc . Bccr Tap'. ' �ye VVash Sm Wa�er Her,fa F Prep Sink . • Dipper Well • Deduct Metr,r . _.O Gay 0 Elcc[O.PwrVrit Floor Sirik � Drink Fnln � .: . Clotbes Wshr Hand.�enlc . . . tr . ... .. .. . . .._... . . ....}!�h.rn�n Wtr Sewer M -••--... .... -------Ln.dry Tray_---� ...: .. _..:l,;tb Sink_.._..... . . � ° . .. -- . - .._... . . . ..---. . _ WvSlsage Mtr . . - ... . __Catchl3asin ..--—•-•- � :.. . . __.._.. _..Misc�DQ11rC5...__. -.. ...... . .. ........ . ..... .... i;�eetric Cot�tr�ctor�(far p�ojeets�aot req.�-fag.R�EIV�orin) . . . . .. ... . .. ... . . _ _... • . ........._..._. ... . .........__ . _.._ -=--- . . ... ...: �se Na'h��re Qf�Vork. : .. . . :. _ �_.._.... . . . ....... . . . S� . .: . . , . . . Material' 7YPe . #.. .' .. Conn.Type : Sanifery Sewer � � ,' • ,' ; � Stozm Sewer. � : . . � . ' Water Se�vice � ' .' � . . . . . . .. . . . 06/09