HomeMy WebLinkAbout2013-Plumbing � CITY OF OSHKOSH No 158441
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 1015 SCHOOLAVE Owner MARKA/JULIEATHUROW Create Date 10l24/2013
Contractor REBATH OF CENTRAL WISCONSIN Category 412-Res-Interior(New/Relocated Fixtures) Plan
Inspector Jerry Fabisch
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 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. 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 Locai 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/replacing existing bathtub with new acrylic tub unit
of Work
i
�_ I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0204440000
Valuation $400.00 Plan Approval _ $0.00 Permit Fees $30.00 ❑ Permit Voided !,
^ ---
issued By �� Date 10/24/2013
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the
easement holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4104 Telephone Number (920)765-0068
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
:O�t 24 2013 12. 32PM, �. REBATH CENTRAL WI 9203035935: . � � . . No. 4675� rP. 2/6� � �
� � .• oN r+�E wArea �
�..:. ,. . . ... � P[�rnbing Pertnit Application . � �
: � . ::�i�ereby apply�for a permit to.do and insrtad!tbe following plu�nbing on the premises hereinaftcr described,the.work to confo }
Wisconsin State Plumbm�Co.de;in the�eiformance of which all pa,ties.hereto agree.to and are bound by said����to the, �
• , . . �
,A.pPlication(s)and.fee(s)cau be bro � � .. . : . . �
��903-1125. Commencing work�vith�°ut ps�S)wiRoe$�iilt�n�ees bc ng d bP d or$Op.00e���$�x 1]z8,Oshlcosh vVI `=
: ever is�eater. m,
. P the ao a�perxnit fee, wh;ch i
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. I ou�are u c ntracCor artfci attn in ihe Permit'.F'ee Accounl �4 slem and Izave ade uQte unds c.hec.k
i ou want thrs roee.ssed[hrou h 'vour.�ccnunt � here
*�Adv�.cory-�'ar applicable pro,�eces, a�►Elecbcxeal]fastadIat�con Veril�earion(E�for� si .
Coatrac�o�or$omeo�vvner(for�stallatiozxs 311a�ved to be pezfoffied by the homea�vner)n�ustdbe s��lec��`�
wath tbte peLx;ait apglic�tiou. App1$cations sribmit�cd witbo�t an EIV when such is zeguized, �uviF1 II mrtted .
: processed for Pert.uit Zsy�ee�ud�viI1 be re�ed for co�upletion; � ot be
�.Tob�l.ddress,lQ��' ���C�Ek''�l �.p�� O� . .
� �``� ��( cluding labor and macerials) '� Date �� ,
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Ovvn.er �1Q1(�� ("b�,{� Cant ����oc�as��
ractar �
�ingle Family �buples OMutti-Famil �'����� �
y �Rental ❑Cotnmercial
❑rndi�.ctrial
Number of Fixtuxe ; � �
Ilarhtub �� Sump Pump •
Shower Sab Sump/p�,p Plastcr Sink RoofDrain
Sculiery Sink Soda.Disp
�nirlpovi Waxr So;ftcner
$etviCe Sink l;ol�ec i�{Jcr
Lavarory Sr�ndpipe Rec �_ ,
� Toilet Shamp Sink .. . Site btain
Garage FD' . - Surgeons Sink •
Kit Sink . Local Waste • W�trs Str�
��5� 5terilizc . Ice CLest
. BarSink ' RPZ Velvc -
Aishwasher �; B Comm lcc Mnka
renlam S�. . 'Didet.
Floot Drain G7assrm Sink Int,G,rBSO Trap
U�� F�Ci Gresse Tra
Hose B i6b Ex�r�5ink . IIeer T . p
� Eyc Wa4h Str�
17Varer FIeneer � F P�p Sink _ _
••O Ges❑61ca Q PwrV�t . I?!PDer Wel(
Cto�es Wshr FloorS� Drink'Fnot W ductMeEer _
. . _. �; . Hand 5ink_: aSewcrMu . � ..
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