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OSHKOSH
ON THE WATER
Job Address 1036W 5TH AVE
Contractor KURT ZENTNER & SONS INC
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HAROLD C BINDER
Category 411 - Residential-Water Heaters
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc..
Fixtures
Use/Nature ~.FR / GAS WATER HEATER REPLACEMENT ""debt acct
of Work I .
L
No 123397
Create Date 0210212007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~ ~ ~; i..\ i r: .
Size
Type
#
Conn. Type
Material
Sanitary Sewer
Storm Sewer
Water Service
Valuation ___~60Q:QQ \ Plan Approval
Issued By ~LA...J
$0.00 Permit Fees
$25.00 D Permit Voided I
Parcelld #
0606690000
Date 02102/2007
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
Agent/Owner
Address 2860 OREGON ST
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.
Mar. 23. 2006 9: 16AM
i nsp.ect ion se rv ices
No.5819 P. 1
City of Oshkosh
I:ospection Services Di~sion
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
O{l-j~Q!H
Plumbing Permit Application
1 hereby apply fOT a pennit to do and install the following plumbing 0J1 the premises hereinafter described. the work to contonn to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fec(s) can be brought to City Hall, Room 205 ot:' mailed to Inspection Servicesl PO Box 1128,
Oshkosh WI 54903-1128. Connnencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonna! permit feel which ever is greater.
OR
l(~ou are a' contrfJ.ctor 1!artidpatinf{ in the Permit Fee Account System and have adequate funds. check here
'(vou want this lJrocessed tkrouflh your account f]'
Job AddressJD~ IN,5"*'AA.
Owner 'f-\o(D\J Bi t'ld.e{"
~gle. Family DDupJex
Value (lncludinglabarandmatcrials) ~(oDO.ro DateJJ1)3D/D7
Contractor' J?u~ .a~.r+6lX\~L ~l
DMuJti-Famlly DRental . DCommerciaJ Ondustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Tollet
Res. Sink
Dar Sh1k
w:;er Heater --L-
llI'f'as 0 Elect 0 PwrVnt
Shower
Fluor Drai1l .._
IndtyTray.
Lab Sink
Plaster Sink
Slerilizm-
-----
Disposal
Dishwasher
Sump Pump
Ejeclct/Gtind
Water So1bler
Local Waste
Ckltha Wsbr
Bidet
Beer Tap
CIassnn Sink
Surgl:OllsSink
9n:abm Sink
Dip Well
HCliC Bibs
DrinlcFtn
Wait-Sf.
.Ice Cbc$t
&am Sink
SClllry Sink
Hand Sink
F Prep Sink
~rv Sink
Int Oreasc Trap
Bxt Grease Trap
R.P.z. Valve
Shamp Sink
FIr/Wst Sink
Caleh fmin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Co1rec Maker
Comm. Ice Maket
Site Drain
Roof Dtaln
Stand)) Rec
Eye Wash Sill
WtrSewIl'rMtnI
Deduct Metllnl
Wtr Ullage Mlrl;
-----
'MiI;c.
Filttlm:li
OR []Electric Installation Verification form attached
(If ReplllllClllCllt)
Use/Nature ofWo.fk UXt.\?{ h.ta-K( r.Lflt1lP m.e~+
Electric Contractor
Size
Material
Type
#
Conn. Type
;'.
Sanitary Sewer
Stoon Sewer
Water 8enice
11/05