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OSHKOSH
ON THE WATER
Job Address 1513W7THAVE
CITY OF OSHKOSH
No
118010
PLUMBING PERMIT - APPLICATION AND RECORD
OWner GORDON A HAGSTROM
Category 411 - Residential-Water Heaters
Contractor KURT ZENTNER & SONS INC
Create Date 01/27/2006
Plan
Bathtub 0 Shower 0 Water Softner ----.2
Whirlpool 0 Floor Drain 0 Local Waste 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0
Toilet 0 Disposal 0 Bidet 0
Res. Sink 0 Dishwasher 0 Beer Tap 0
Bar Sink 0 Sump Pump 0 Lab Sink 0
Water Heater 1 Classrm Sink 0 Sterilizer 0
Site Drain 0 Breakrm Sink 0 DipWell 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0
Misc. 0
Fixtures
Use/Nature r-~-"- -_.~~
of Work
Size
Sanitary Sewer
Wail.SI.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
0 Shamp Sink ----.2
0 FlrlWst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Material
Conn. Type
Storm Sewer
Water Service
Type
#
0
0
0
0
0
Parcelld #
0610670000
Valuation
$575.00
$0.00
Permit Fees
$20.00 D Permit Voided I
Plan Approval
Issued By
Date 01/2712006
In the performance of this work, I agree to perform all work pursuant to rules govemlng 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
Address 2860 OREGON ST
AgenUOwner
OSHKOSH
WI 54902 - 0000
Telephone Number 235-1340
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.