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OSHKOSH
ON THE WATER
Job Address 1550 FAIRLAWN ST
Contractor KURT ZENTNER & SONS INC
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 123400
Owner JACQUELINE RRONSON REV L1V TRUST Create Date 0210212007
Plan
Category 411 - ResidentialcWater Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
SFR / GAS WATER HEATER REPLACEMENT **debt acct "
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1306931800
Valuation . $600.J
Issued By ~\..
Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided i
Date 0210212007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2860 OREGON ST
OSHKOSH
WI 54902 - 0000 Telephone Number 235-1340
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Mar. 23. 2006 9: 16AM
ins p.e ct ion s e r v Ice s
No,5819 P. 1
. City otOshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOfH
ON THF WAT!;R
Plumbing Permit Application
1 hereby apply fOT a pennit to do and install the following plumbing on the premises heteh1after described. the work to con/ann to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
i
Job Address_'5ED ~A1~1IJ..uJ(\
Owner }let; ~ (2.0(\~)n
Qs'ingle. Family DDnpJex
ValDe (lnc:luding labound materials) <$ ~ODt (t:J Date () I J3DJc;l
Contractor ~0(+Z1!ntna{ f SchS :t:pL.
OMulti-Family DRental . DCommercial DlndustriaI
Number of Fixtures;
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sittk
Dolt Sink
Water Ileatel' --1-
1\ Gas 0 Elect 0 PwrVnt
Shower
Disposal
Dishwasher
Sump Pump
EjectotlGtind
Wal.t:r Solblet
I.bcal Waste
Clatht:li W~br
Bidet
Beet Tap
C!a$$nnSink
SurgeunsSink
9n:abmSink
DipWc:l1
HOliC Bibs
Drink I'm
Walf-Se.
.Ice CheSt
Exam Sink
. SOIIlry Sink
Hand Sink
F Prep Sink
SQy Sink
lot oreasc Trap
Ext Grease Trap
R.P.z. Valve
Shamp Sink
FItlWst Sink
Caleh Basin
Wash Fen
Urinal
Oar Drain
Soda Disp
Coffee Maker
Comm. Ice Maker
Site Drain
RoofDraln
Standp RIle
Eye Wash Sill
Wit SowerMlnl
DeductMetenl
Wlr Usage MlIli
Fluor Drai11
llldry TrQ.Y
!Jib Sink
Plaster Sink
Slailizc:r
,Misc.
FixtuTe1l
Electric Contractor
OR []Electric Installation VerificatioD form attached
(lfRcpi~t)
Use I Nature of Work \J~\2. HE.ftTEl2-- o.E>>wu ~'f\+
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Stoun Sewer
Water service
11/05