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Home My WebLink About0152553 - Plumbing (create laundry room) CITY OF OSHKOSH No 152553 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1915 FABRY ST Owner NORMA J GOFF _ Create Date 09/19/2012 Contractor KURT ZENTNER&SONS INC Category 410-Residential-Interior Plan Inspector Jerry Fabisch Bathtub 1 Clothes Wshr 1 Classrm Sink Surgeons Sink Roof Drain Deduct Meters Shower Lndry Tray Exam Sink Sterilizer Soda Disp Wtr Sewer Mtrs Whirlpool Sump Pump F Prep Sink _ RPZ Valve Coffee Maker Wtr Usage Mtrs Lavatory San Sump/Pump Flr/Wst Sink Bidet Site Drain Misc. Toilet Water Softner Hand Sink Urinal Wait.St. Fixtures Kit Sink Standp Rec Lab Sink Beer Tap Ice Chest Disposal Gar Drain Plaster Sink _ Dip Well 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 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn Water Heater _ Use/Nature IRES/Creating a larger laundry room area by garage entrance. All construction shall comply with State and local of Work building codes. **debit acct Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1412390000 Valuation $1,500.00 Plan Approval _$0.00 Permit Fees $25.00 ❑ Permit Voided Issued By( Date 09/25/2012 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. Date Signature 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. L960 .°N WVOSYL Zl06 *S6 'das, aWil paniaaq City of Oshkosh Inspection Services Division P O Sox 1130 / Oshkosh,WI 54903-1130 ��, `�� Phone:(920)236-5050 K Fax:(920)236-5084 ON I i+'.WAliiR Plumbing Permit Application 1 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 549034128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater, OR I ou are a e•ntract!r •artici•atl In th Permi ee 'ccount S ste and hive ad-•uate unds heck here if you want this processed rhrou your applicable projects,an Electrical Installation Verification(EIV)form, signed by the Electrical **Advisory-For app ' P 3 Contractor or Homeowner(for installations bmitted without ra EN when such is required,will will notbb rte with the permit application. Applications processed for Permit Issuance and will be returned for completion. a� Z v 4 Date 2 Y Job Address/9 _ Value(Including labor and materials)_f a Contractor ° "'e"r Owner y � Indastrial Single Family ODuplex E1Multi-Family Rental ❑Commercial Number of Fixtures: Roof Drain Sump Pump Plaster Sink Bathtub Soda Disp San.Sump/Pump Scullery Sink Shower Coffee Mkt Water Softener Service Sink Whirlpool Site Drain Standpipe Rec Sharp Sink Lavatory Waitrs S Garage FD Surgeons Sink Stn Teilet lee Chest Local Waste Sterilizer Kit Sink Comm Ice Maker Bar Sink RPZ Valve Disposal Bidet Int Greasy Trap Dishwasher BreaktmSink Icr Grease Trap Classrm Sink Urinal Floor Drain Beer Tap bye Wash Stn Mose Bibb Exam Sink Deduct Meter F Prep Sink Dipper Well Water Heater Drink Fnm WV Sewer Mu 0 Gas 0 Elect 0 FwrVnt Floor Sink Wtr Usage Mu Wash Fntn Clothes Wshr Hand Sink Misc Fixtures Lndry Tray Lab Sink Catch Basin Electric Contractor(for projects not requiring an EIV Form) Use i Nature of Work /.., - -- if- - Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service 06/09