HomeMy WebLinkAbout0127194-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1234 W 5TH AVE
CITY OF OSHKOSH
No
127194
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner KATHLEEN M KOHL-SHERBURN Create Date 10/10/2007
Category 411 - Residential-Water Heaters 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 RPZValve
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
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
ISFR / REPLACE GAS WATER HEATER **debt aeet
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0609890000
$0.00
$25.00 D Permit Voided I
Permit Fees
Valuation $600.00 Plan Approval
Issued By nrns--
Date 10/10/2007
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
OSHKOSH
WI 54902 - 7136 Telephone Number 235-1340
Address 2860 OREGON ST
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
insp~ttion services
No.5819P.l
. City otOshkosh
I:nspection Services Di~sion
POBox 1130 .
Oshkosh, WI 54903-1130
Phone; (920) 236-5050
Fax; (920) 236-5084
~
~
PlumbIng Permit Application
1 hereby apply for a permit to do and imtall the following plumbing on the premises hereinafter descrlbed, 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 Ol."maited to Inspection Services, PO Bo" 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal perinit fee, which ever is greater.
OR
~;:: ;~::~~~:;;~:;s~~"~",,~k~;o: ~:c~:~~i~ee Account ~V!'te~ and nave adequate funds. check here
JobAddress ldoq w.6"""'twe;
Owner J(URl .5lteRa~
~gl~ Family DDnpJex
Value (lncludinJ: !abound material.) .$ ita>. fi:> Date J{fl; -'0,
Contractor KURT' t.e:I\lrtJt;lG-.r S'DU:S TtJ!..
DMuJti-FamDy DRental . DCommercial []Industrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatoty
Toilet
ReL Sillk
DatSiIl1:
Water IleaU:r 1
. Gas 0 BlcotC ~Yn~
S~ .
F1uor Dn.itt. .
..-
IJIdtyTny. _
UbSink ..
Plaslllr Sink
SlaiIizar
. Mlac.
Fixtma
Electric Contractor
---
Disposal
Dishwashet
Sump Pump
l;jeetot/Gtind
WlIIllr Solblet
Local Waste
Clutbw Wahl'
Bidclt
Beet.Tap
CIwrmSiIlk
S\D'IlllXII Sink
DretIam Sink
DipWc:l1
HClIllBlba
Ori"l( FI11.
Walc.St.
.l~~t
Bum Sink
. Souby Sink
Hanel Sink
P Prep SIDle
SQ'V SInk
Int OI'CISC Trap
.Ext Grase Trap
R.P.z. Valve
Sbampo Slftk
FltIWst Sink
.-
Catch Basin
Wash Pill
UrInal
Oar DraIn
Soda Disp
CoffeiMaker
Comm. Ice Maket
Site Drain
Root~
Standp Rec
E)'eWuhSlII
Wit' Sowtr Mini
DeduClMeten
WtrUsapMtra
QB.
[]Electric Installation Verification form attached
. (IrReplaaemcnt)
. Use I Nature of Work c,~ W.ATe;(L ft~ ~-pJJtcelr\eNr
Size
Materlal
Type
#
Conn. Type
Sanitary Sewer
Stotm Sewer
Water service
11/05