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HomeMy WebLinkAbout0123399-Plumbing (water heater) o 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