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OSHKOSH
ON THE WATER
Job Address 412 W 19TH AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
127569
Owner NAOMI L LUECK
Contractor KURT ZENTNER & SONS INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Category 410 - Residential-Interior
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Use/Nature [SFRTREPLACE-ADA TUB &'- SHOWER **debt acct-'''--'u,-
of Work I
Valuation
Issued By
L______
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Create Date 10/30/2007
Plan
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
I
I
____ ___'._______.____.________.._.. _____..J
Sanitary Sewer
Storm Sewer
Water Service
Type
Conn. Type
c5Y:n~PProV"
~_____ $J),QQ
Permit Fees
Parcel Id #
1405550000
#
_______$25.00 D~rmit Void~j
Date 10/30/2007
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 -7136 Telephone Number 2.35~1~_~.o
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.
113/28/213137 1313:19
92132355425
KURT ZENTNER & SONS
PAGE 131/131
!
Mar.23. 2006 9:16AM
insp~~lion services
No.5819 'P.l
. City of O.shlcosh
Impcotlon Services Dimron
PO Box 1130 .
O&1lkosh. WI 54903-1130
PhoDe: (920) 23G-SOSO
FlIX~ (920) 236-5084
(~
~
Plumbing Permit Application
r kn:by apply ror a pfmcl.t to do nnd insrnU the toUowWg plumbiftg ()Il the premlsos .lweb:utfrer deserlbed. the wort to c~onn to the
Wiscomin State Plu:mbing Code, in the pcrfommnce of'which all parties hereto agree to and am bound, by saUlslatntes.
. Applieation{s) a:ad fcc{s) CIUl bo brought to City Ha.ll, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without ptnnit(s) will result in fees being doubled or $.00.00 plus the
normal peOnit fee, which <wer is lP'CD-ter.
OR.
lll'pu q7"<< Q' contr.P<tlRt.l1'f.,-tic(rtatinr in th" Permit FfJe Accounl ~VJte1l1 anti h,g'VB adequate furuTa. chtu:k here
ffvtJu wQn~ thi~ rlT'OC6ltSeJ tlr~o.uglr 'Pour o4cQuIlI 0 .
.' : ' , --(If A' .. L ",0
Job Address '112. uJ. /1 =-' II /If;' V me (lncrludirlllnbar IDd ufcrill.) 0, 00" ,
Owner ~A(JI".& J.."'6"'~ Contractor ~r.l#: 26,Jt;J~,..
~SI1tgl~. Fa.mRy DDnplex []Multi-Family DRental . DCommercfal
Date /1) - 30 .. D 7
~ ~ AJ.c
[]Industrial
Nwnber of Fixtures:
..L
Diapornl.
Dish<waslw
SIlIl'lp ~
F,ieeradOrind
WlIlllr SolbItlt
Lccal WMM
CWhW.br
Pidol
Beef'Tap
CIaaamJ Sink
S~Sin"
bn:ikrm SiDle.
DipWtlll
HCIRl Bib.
o.1nld'trl.
Walt-Sf,
,Ice Cbes\
BMm Sink
. SClIIlySInJI;
Hand SInk
FPup Slnlc
Sa'\' SInk
lhtGn:llo'l)olp
BuOIllllll'_
R.P.z. VAlvt-
Shelp 81llk
f1JrIWst SIIlk
---
Catch aul~
Wasb Fill
UrInal
Oat DtdQ
Soda D1~
coma MWr
Cornm. fee MlI1:tt
Sl~ DIDio
Root~1l
Stlllldp Rcc
Bye Wult Sbt
WIt Sawer MIrI
DeductMeltn
WIrU=,pMInI
.::.--..
Balbtub
WhIr1pocl
Lavatory
ToIlet
Res. ~
DAtSU*
Waler Ren.
o 0'..0 Blcot~t
Sbower .
Fluor DrMl '_-":"'-'
Llldry1\1,y, _
Lab Sink .. '_
PIGl/:r Sillk
SIm"br
-Misc.
Fllllm:l
.-
Electric Contractor
b. ~ ~
!2B. OElectric InsWlation VerUicatloD form attached
'. ' (O'RqJIIIllQII'IClIt)
-r;" t$ ~1h;J6/L at!!?c.A ~h1crN"
_ Use I Nature of Work A'Q A
S!2e
Matorlal
Type
#
Conn. typo
Sanitary Sc:wor
Slmm Sewer
Walcr8erv.We
U/~S