HomeMy WebLinkAbout0158928-Plumbing (bathroom alterations) � CITY OF OSHKOSH �
� No 158928
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 836 W 11TH AVE Owner BRADLEY D HOUNSELL Create Date 11/29/2013
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 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 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 1 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
UselNature SFR/install new bathtub and add floor drain
of Work
debit acct"
i
Size Material Type # Conn.Type
Sanitary Sewer
Stortn Sewer
Water Service
Parcel Id#
1303030000
Valuation $400.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided.
Issued By ��' Date 11/29/2013 :
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
AgenVOwner
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.
Nov, 27, 2013.. 3: 51PM .. . REBATH CENTRAL WI 9203035935 .. �. � No. 4794� �-P, 2/2 r--i
" • . .' . °. �, .. ^� ON TNE WATER. •-
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•._: ..
• ' r ��bing Perm�t App�icat�Qn . :
....�. I hereliy apply for a peimit ao do and install the;Following pl�imbing,ou the premises hercinafter described,tlie work to conform to the �
Wisconsin Staie P)umbing Code;in the�eifor�riance of which a11 parties hereto agree to and are bound by said statutes. ,
� • �Application(s)and,fee(sj can be brnugl�t to Cicy Hall,Room 205 or rnailed to Inspection Services,p0 B ox 1128, Oshlcosh Vln
54903-1 I28_ Commcacing work wirbout peivut(s)will result in fecs heimg doubled or$100.00 plus the riormal pennit fee,whicb
. . ever.is greater_ �.
�. QR � � : . ,
. I ou ar'e a co�rtraclor arlici ati��� r�r the Permit:F'ee. tlecount S slem and hove ade uate und.s c.heck here
1f vou wan! this proces.red [hroue�h vour.atcoun!,I-1 .
**Ad�visory-For applicable profccCS, an�jeccdcaY�rssta.�Iatian Ver�fiicazion(��fa=m, si�ed by the E1ect�ical
Co�fractQr or F3o�aeownez(f�r installatioas allowed to be perfoimed by rhe.�s��eowner)giust�re sicbr�Cted '
; with tlie permit apglicaCian. AppFicaL�ions subatitFed wi�hoIIL a.n E1V wF�en such is requ�ed, wilY aot be
processed for Pezm�t Zssuagce�d w�be retnrn�ed:for com.pXetxon.
Job Address �S3e vJes�- Il�h :�-��v`}9°� � �
aIQ@(Inctuding labor and maicrials)_ �D� �� ll��C �� — 2'7`�� �
Qvc�ner �`(� �C� l CO.QL7'BC�Ot'� � "9�15 �plW�4Y1 ��
�Single Fabuily �Q��e� []���_Fs.rr�i�y �Rental ❑Commercial
Qlndustilal�
Number nf Fixtwres: '
Bathtub �!V SumP r�P . Pl�sr�r Sink"
Roof brain �
Shower Sar�SomMPiunP ScullerySink _ Soda Di
. �
Whirlpoul W"ah�Softcner �ervi�x 5ink " i;oIIee�vikr
Lavarory Srandpipc Aec Shamp SiNc Sire Drain
Toilet Cr�e Fp . ' Suracoas Sink. Waiirs Sm �'
Ki[Sink . Loc�l Waste
$te,iliur. . , Ice Chcsc
D'�t'� Ber Sink KPZ valve Comm!ce Maker
. Dishwasder Srcakra►Sink. '$idct ` , Int Grcase Trap �
Floor Drain �_N � C2assrm Sml: Uri.na! Ext Grease Trap .
Hose Bibb Exam Sink ... Bea Tap . , Eye Wnsh Sm •
waier f�leater F Prep Sink ' Dipper Well Deduc�Mcccr
� :.•D,Cas 0 Elect O PwrLot. Floor Sink • , .
,:Drink Fn�n . Wtr Scwer Mv
Gothes Wslu' .. � Hatld.Siak: ; WaS}�Fn(n._-••- .
. ..:.-.. ..:
. ._ _. . _
_._...._i�xdry.TraY..._._.. _. _ . wtr Us.�E.MV ..
........ . ...._Lab.Sink.---..... _.Cs�c6Bnsin .-.-.----. .
_. -
,-• • ... ...M�sc.F.ixtures.. ......
.... .... . . ... ..
. . . • ......
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�Fectrie �o��ractar(for�r�jec�s �at requxri�.g a�ETfT�orm)
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Else aEua-e ot�.l�vrk _ . . ... _... .. .. . . . . . .
Size ; Material Type ' � Con�.T�e
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Saiutary Sevuer. . . .. ; . . :. . . , - - .... . _.. ,
�rII]Sewe7 . . . • �. . �
. Water Service
. •. ' .' • '.' _ 06/09` .
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