HomeMy WebLinkAbout0123403-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1513 N MAIN ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLlCATIOf'! AND RECORD
Owner MICHAEL S POKLASNY/M J KAHL
Category 411 - Residential-Water Heaters
Contractor KURT ZENTNER & SONS INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
pf Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
., Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
No 123403
Create Date 0210212007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valye
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
~FR 1 GAS WATER HEATER REPLACEMENT**debt acct >
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1501340000
$0.00 Permit Fees
$25.00 D Permit Void~
Valuation $600.00 Plan Approval
Issued By o-rniA...../
Date 02/02/2007
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
Address 2860 OREGON ST
Agent/Owner
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.
Mar. 23. 2006 9: 16AM
ins p.e ct ion s e r v Ice s
No.5819 P. 1
City of Oshkosh
Inspection Services Di~sion
POBox 1130
Oshkosh. WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
(f)
O-frj~QtCi
Plumbing Permit Application
1 hereby apply fOT a pennit to do and inslall the following plumbing on the premises hereinafter described. the work to conform 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 fcc(s) can be brought to City Hall, Room 205 0\" 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
nonnaI permit fee, which ever is greater.
OR
011 r a.co ractor artici at'n i the Permit Pe
i 011 want this rocessed throu h our account
Job Address_' S)3 IV, ~~ n 5\
Owner ~,c.tvJ~J \<4 h \
OSingle Family DDupJex
Value (lncludinglabonndmatcrials) ~lAD.C() Date oll:aoJrn
Contractor Kv62.Q~(+~<S Jr..(,..
DMulti-Family DRental .DCommercial Dndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Si1lk
Baa-Sink _
W3et Heater --L
. .II; Gas 0 Elect 0 l'wrVnt
Shower
---
Disposal
Dishwasher
Sump Pump
EjeetCR'/Grind
Waltlr Sollnet
Local WlllIte
ClotlH:l; Wlihr
Bidet
Beer Tap
ClWnn Sink
SurgllllllsSink
Bn:abm Sink
Dip Well
HO&e Bibs
Drink rtrl
Walt.Se.
,If:C ~t
Exam Sink
, Sculry Sink
Hand Sink
F Prep Sink
~rv Sink
Int Grease lrap
Bxt Grease Trap
R.P.z. Valve
Shamp Sink
FltlWst Sink
Catch Basin
Wash Fm
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. Ice Maket
Site Drain
RooCDtaln
Standp ReI:
Eye Wash Sill
Wit Soww Mini
Deduct Metenl
Wtr Usage MlrIi
Floor Dra.i1l
Lndry Tray
Lab Sink
Plaster Sink
SIcrilizm-
. Millo.
FixtuTcll
. ..
..-
Electric Contractor
OR []Electric Installation Verification form attached
(lfRcpl~t)
Use I Nature of Work vJl'rIt:JZ- \1t~ I-LPLPtt..E,Jl\E,toJl
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Stonn Sewer
Water SeIYice
11/05