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Home My WebLink About2012-Plumbing (replace sill faucet) CITY OF OSHKOSH No 151530 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address L AVE ITZE W 815 5 ITZE Owner LE WICKMAN LLC Contractor KURT ZENTNER&SONS INC Cate - - ---- Create Date 08/03/2012 Category -- ---- - -- -- - -----. _---_ 9 rY 442-Commercial-Interior(New/RelocatedFixt! Plan Inspector Jerry Fabisch Bathtub Clothes Wshr Classrm Sink ----- _ Surgeons Sink Roof Drain Shower Lnd rY Tray Tra - ---- Deduct Meters _ Exam Sink _ __ Sterilizer _Soda Dis Whirlpool Sump Pump F Prep Sink RPZ Valve P Wtr Usage Mtrs — -- _ Coffee Maker Wtr Usage Mtrs Lavatory San Sump/Pump Flr/Wst Sink Bidet Toilet — - ---- _ Site Drain Misc. Water Softner Hand Sink Urinal --- —— ---- __— Wait.St. Fixtures Kit Sink Standp Rec Lab Sink Beer Ta Disposal Gar Drain ---- Tap _—_ Ice Chest Plaster Sink Dip Well --— — P Comm Ice Maker Dishwasher Local Waste _ Sculry Sink Drink Ftn Int Grease Trap Floor Drain Bar Sink Sery Sink —_-- Wash Ftn Ext Grease Trap Hose Bibb - 1 Breakrm Sink Sham Sink P Catch Basin Eye Wash Statn Water Heater — - --- Use/Nature COMM/replace sill faucet and install ballcock in toilet of Work _-- -- ---- --- - - J Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 0603510400 Valuation $190.00 Plan Approval _ _ $0.00 Permit Fees _ 00 $25.00 D Permit Voided Issued By -- Date 08/03/2012 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 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. City of Oshkosh Inspection Services Division P O Box 1130 Oshkosh, 54903-1130 Phone: n Phonee (:(920)0)236-5050 Fax:(920)236-5084 OJHKaf H Plumbing Permit Application "�r".. "�'fu I hereby apply for a permit to do and install 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 fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR / ou are a •ntractor •artici•atin. in the Pe mit ee Accoun tern and have ad ..are unds check here i au want this •roc- ed throu-h ou •cc•unt **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an Ely when such is required, will not be processed for Permit Issuance and will be,etnrned for completion. t Job Address is a 1 �r glue(Including labor and materials) e 7 j7-1 �� ,nf Date ccL��`` ! Q� Owner Vl'. Y V j azalf l Contractor ,��i � ['Single Family ['Duplex ,i J p ❑Multi-Family ['Rental JTComniercial ,(]Industrial Number of Fixtures: Bathtub Sump Pump Plaster Sink Shower Roof Drain San.Sump/Pump Scullery Sink Whirlpool Soda Disp p Water Softener Service Sink Lavato Coffee Mkr Standpipe Rec Shamp Sink Toilet Site Drain Garage FD Surgeons Sink Kit Sink Local Waste Waitrs Stn Sterilizer Ice Chest Disposal Bar Sink RPZ Valve Comm Ice Maker Dishwasher Breakrm Sink Bidet int Grease Trap Floor Drain Classrm Sink Urinal Ext Grease Trap Hose Bibb Exam Sink Beer Tap Eye Wash Stn Water Heater F Prep Sink Dipper Well it Gas 0 Elect❑P.7—nt Deduct Meter Floor Sink Drink Finn Clothes Wshr Wtr Sewer Mtr Hand Sink Wash Fran Lndty Tray Lab Sink Wn Usage Mr Catch Basin Misc Fixtures Electric Contractor (for projects not requiring an EXV Form) Use/Nature of Work Ay,lc cc., 144 � / ci,-►� r ' 24, L .'_ 4 Size Material Type 4 Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09 Received Time Aug. 3, 2012 1 : 37PM No. 0318