HomeMy WebLinkAbout0123399-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1709 W 5TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner SAMIJOYCE M GORWITZ REV TRUST
Contractor KURT ZENTNER & SONS INC
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Scrulry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
1 Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind DrinkFtn Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Use/Nature SFR 1 GAS WATER HEATER REPLACEMENT ""debt acct
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $~OO
Issued By ?'Yn
$0.00
$25.00 D Permit Voided i
Permit Fees
Plan Approval
No
123399
Create Date 02/02/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcelld #
0612170000
Date 02/0212007
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
Address 2860 OREGON ST
AgenVOwner
OSHKOSH
WI 54902 - 0000 Telephone Number 235-1340
Date
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.
Ma r. 23, 2006 9: 16AM
inspection services
No.5819 p, 1
. City ot Oshkosh
Inspection Services Division
POBox 1130 .
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(t)
0[t!~9JB
ON T ATI:R
Plumbing Permit Application
1 hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described. the work to confonn to the
Wisconsin State Plmnbing Code, in the performance of which all partieS hereto agree to and are bound by said statutes.
· Application(s) and fcc(s) can be brought to City Hall, Room 205 Of mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
lfyou qre a' contractor narticill.atinf[ in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this lJroces.red throufh your account fVI
Job Address_llOG \oJ. ~"'*'~
Owner ~co PJ,,,(u.)\ +2-
~gle. Family DDuplex
Valne (Including Iabcnnd materials) ~ ~ro. 00 Date 0 "3D kn
Contractor _~\)(.;-l-Irit"(\P.-r cf ?nnl) J;;L
DMnlti-Famfiy DRentalDCommercial Ondnstrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatoty
Tollet
Res. S/nk
Dill'SUlk _
Water Heater ..l-
)\ Gas 0 Elect 0 Pwl:Vnt
Shower
F1UOT Dra.iu .. ~
U1d1')' Tmy
lab Sink
Plaslcr Sink
Slerilizm-
'Mi&c.
FilttuTCII
Disposal
Dishwasher
Sump Pun'4'
EjectotlGtind
WlIl.tlr Sonnet
Local Willie
Clulhw Wsbr
Bidet
Beer Tap
CIassrmSink
Surgt:OllsSink
Bn:aIam Sink
Dip Well
HOIiCl Bibs
Drin~l'trl
Wait.St.
.Icc~t
Eltam Sink
. Scull)' Sink
Hand SiDle
P Prep Sink
~rv Sink
int Grease Trap
Ext Grease Trap
R.p,z. Valve
Shamp Sink
Flr!WstSink
Cateh Buin
Wash Pm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maket
Site Drain
RDofDtaln
Stand)) Rtc
Eye Wash Sill
WtrSewerMlnl
DeduclMel1ll1l
Wtr Usagct Mini
OR []Electric Installation Verification form attached
(If Replacement)
. Use I Nature ofWork_Wo.~( t1la.Je( CL p faCt 1Y'.P(yr
Electric Contractor
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11(05