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HomeMy WebLinkAbout0123403-Plumbing (water heater) e 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