HomeMy WebLinkAbout0153232 - Plumbing (hose bib and repairs) CITY OF OSHKOSH No 153232
IQD OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 913-919 NEBRASKA ST Owner GRACE EVAN LUTHERAN CHURCH Create Date 10/29/2012
Contractor KURT ZENTNER&SONS INC Category 443 Commercial-Interior(Replacement Fixtun Plan _ — __-
Inspector Jerry Fabisch
Bathtub Clothes Wshr 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 FIr/Wst Sink _ Bidet Site Drain Misc.
Fixtures
Toilet Water Softner Hand Sink Urinal _ Wait.St. —
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 _ 1 Breakrm Sink Shamp Sink Catch Basin Eye Wash Statn - _
Water Heater
Use/Nature ICOMM/install new outside hose bibb and repairs per code violations
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0301650000
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Permit Voided
Issued By Date 10/29/2012
s
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.