HomeMy WebLinkAbout0124949-Plumbing (eye wash)
o CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 615 LEEWARD CT WEST
Contractor KURT ZENTNER & SONS INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
No
124949
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GALLMAR INVESTMENTS LLC Create Date OS/23/2007
Category 440 - Industrial-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Correct code violations created with the installation of emergency eye wash. *** Debit Account
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1524770000
$250.00 Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date OS/23/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 2860 OREGON ST
OSHKOSH
WI 54902 - 0000 Telephone Number 235-1340
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OS/22/2007 14:05
9202355425
KURT ZENTNER & SONS
PAGE 02/03
Ma r. 23. 2006 9: 16AM
insp~ttion servic!s
No.5B19 p, I
,City otOs.hkosh
&3spectlon Senrfce9 Di\lision
POBox 1130 .
Oshko&h, WI S4903~1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
~
Plumbing Permit Application
1 hereby apply for a permit to do BDd mslaU the following plumbil1g on the p.remlses hereinafter deserlbed, W work to c~orm to the
WiscOD.!l:in Sta.t.c Plumbing Code, in the performance of'wbich all parties hereto ngree to and are boW1d by said srarurc/ll.
.. Application(s) and fcc(s) eon be brought to City Ha.n, Room 205 or mailed to IlI$peCtion Serv1ce8~ PO Box .1128,
Oshkosh WI 54903-1128. ComtneDcing work without pcrmit(s) wiU Rsult in fces being doubled or $100.00 plllB the
normal pei'mit fec, which ever is greater.
OR
~;::::;:~~~~o~~~~(:/:l~~k~:o~~ ~c"c~:;:i~~1t~ Accorml $ysle~ and have aJequtlte-fuTuls. chck here
J~b Address /;/b 4..e4! JvI~.-d C~ Value (lno1udinllaborand matarlalmL .ztf?J Il'~
Owner BI'// 1IL)t+-e- Contractor' ~c/~r2B.~~:'J SC~~
OSlngle, Family OUuplex DMulti-F8tnDy DRental ,lECommerciaJ
,Use/NatureofWork +"/I).--f-
s~ MaterJal
~'" Cas+-
Number of Fixtures:
Balhtub
Whirlpool
LAvalW'y
Ton~l
~. Slllk
DIlt SiGle
W4tA!rIlllllllll'
o Gll!l c meet [J Mnt
----
ShQ~
Fluor D:llin :.--!-
I.nclty Tray.
lJIb Sink
Pinter Sink
Sb!l"llizer
-Mice.
Pb.tum
Electric Contractor
Sanitary Sewer
StotlTl Sewer
Wll.lcr Setvice
Date ,f" //8/ () 7
,
OIndustrial
D11110W
Di&hwasher
Slimp Pump
1ije.ctCltfO'rind
WlIllsr ~er
l.GcaI Willie
Clulll1:l1 Wlbr
Bidel
Beet Tap
Ctwrm Sink
SmponaSitlK
9rrsdrm SiIlk
Dip WeJl
H~ elb&
Drink F~.
WIIt.Sr,
.J~~
Eum SInk
, SOlIIry SInk
HM4 SInk
fI Prep Sink
~ Sink
lnt 0tC:lsa n.p
.Exc Clre:tse Trap
R.p,z. Val\re
S}lt.mp S.Ink
F1t1Wst Sink
---
ClIt1:h Buln
Wash Flll
Urinal
Oar Drain
Soda DIsp
come Mmr
Comm. lee Maktt
Sib DrDin
RDOt'DnllI1
Standp Rae
~+8W~hSlJl
WtrStzwerMIt1l
Dt.dQC1MlllenI
WIrU~Mtm
~
-
--.
,-
-
fIB
OElectrtc Insta1lation Veti.tieatioD form attached
(If RepI&cemc1lt)
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c.c,?-lKi~ /'Vea-:
011 ~'d, jJ~ry "
Type
I re v....
# Conn. Type
11/05