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Home My WebLink About0159024-Plumbing (hose bibb) � CITY OF OSHKOSH No 159024 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 816 ELMWOOD AVE Owner JON RITTENHOUSE Create Date 12/10/2013 Contractor D R GLAZE PLUMBING __ Category 402-Residential-Exterior(other) Plan Inspector Jon Mueller Bathtub 0 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 FINWst 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 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 1 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0 Water Heater 0 Use/Nature ;SFW eR place back yard outside faucet of Work � . "Paid with check �--- Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0505050000 Valuation $150.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided!� Issued By � Date 12/10/2013 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 1865 JAMES RD OSHKOSH WI 54904 -6873 Telephone Number 920-589-4014 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. C�r Of OSIIISOSLL Iua~pection Sen•icesDn-isiou ;, �� P O Box 1130 � � Osliko�i,S'VI 5�903-1130 �?�� ` Pl�oue: (920)236-50�0 I�� HK I 1 Fax: (9?0)236-503� �� ON THF WATFR Plumbing Permit Application I herebp apply for a penuit to do wd iva�all Hie follo��-ui,plumbiu,ou the premises l�ereivafter described,the n-ork to coufoi7u to die �Viscousui St�te Phunbins Code,u�die pet�onuvice of��iicli all p<uties hereto a�•ee to mid�u•e bouud U}�said stah�tes. • Applicatiou(s)aud fee(s)cmi be broii�t to Cit}-Hall,Room 305 or niailed to Iuspectio�Se»-ices,PO Box 1123,Oslil:o��'I S�t903-1128. Couiiuenciu,�voii��vithout peiYUit(s)�vill resoh in fees benig doiibled or$100.00 plus die uo�YUal pe�uiit fee,�vliich ecer is�•eater. OR If vou are a contractor DartictpafinQ in the Permit Fee Account System and have adeguate�'unds check here f vou want this processed through vour account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Iiomeowner(far installations allowed to be pecfarmed by the hameowner)must be submitted with the permit application. Applications submitted without an EIV when such is required,will not be F processed far Pernut Issuance and will be refi�uned for completion. € .Job Address g�� (t,t.A.,l� s7� t's'IIUe(Inctuding labor and matenals} �I�C� Date � � � Ow•ner 10� �irr�ti�D�st Contractor �j 12 G�.czr- � [}Sigle Famin� ❑Duplea �1ltulti-Famil`- ❑Re��tal ❑C'oimnercial ❑uiclustrial Number of Fiatures: Bathtub Sump Pump Plaster Sink Roof Drain Shower San,Sump/Pump _,_�s ScullerySink SodaDisp _� Whirlpool Water Softener Service Sink Coffee Mkr Lavatory Standpipe Rec Shamp Sink 5ite Drain Toilet Gaz�ge FD Surgeons Sink Waitrs Stn Kit Sink Local Waste Sterilizer Ice Chest Disposal Baz Sink RPZ Valve Comm Ice Idaker Dishwasher Breakrm Sink Bidet Int Grease Trap F1oorDrazn Classrm Sink Urinal ExtGrease Trap Iiose Bibb � Exam Sink Beer Tap Eye Wash Stn DJazerHeater F Prep Sink Dipper Well DeductMeter Gas Elect PwrVnt Floor Sink Drink Fntn �_ Wtr Sewer Mtr Clothes Wshr Hand Sink Wash Fntn Wtr IIsage Mtr ? Lndry Tray Lab Sink Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EI`'Form) LTse/Nature of�`'ork �� ,��e -��,�� Size I�iaterial Type Coun.T}'pe S<uiit<uy Se��-er Sto�w Se��er ��rater Sen-ice 06/09