HomeMy WebLinkAbout0156499-Plumbing (laterals) � CITY OF OSHKOSH No 156499
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 W WAUKAU AVE Owner OSHKOSH TRUCK CORP Create Date 07/02/2013
Contractor KURT ZENTNER&SONS INC Category 401 -Residential-Exterior(laterals) Plan
Inspector Jerry Fabisch
Bathtub 0 Clothes Wshr 0 Classrm Sink 0 Surgeons Sink 0 Roof Drain 0 Deduct Meters 0
Shower 0 Lndry Tray 0 Exam Sink 0 Sterilizer 0 Soda Disp 0 Wtr Sewer Mtrs 0
Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 0 San Sump/Pump 0 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. 0
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures
Kit Sink 0 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest 0
Disposal 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Local Waste 0 Sculry Sink 0 Drink Ftn 0 Int Grease Trap 0
Floor Drain 0 Bar Sink 0 Serv Sink 0 Wash Ftn 0 Ext Grease Trap 0
Hose Bibb 0 Breakrm Sink 0 Shamp Sink 0 Catch Basin 0 Eye Wash Statn 0
Water Heater 0
Use/Nature iReplace water service
of Work
I
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service 2" Plastic Lateral 1 Relay
Parcel Id#
1413490000
Valuation $3,000.00 Plan Approval _ $0.00 Permit Fees $50.00 ❑ Permit Voided,'
Issued By Date 07/02/2013
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
AgenUOwner
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.
Ciry of Oshkosh
inspection Services Division �
P O Box 1130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050
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QN T H''wi�TF R .
Plumbing Permit Application :
1 hereby apply for a permit to do and install the following plumbing on the premises herainafter describcd,the work to conform to the
'Wiseonsin State Plumbing Code,in the perforznance of which all parties hereto agree to and are bound by said stacutes.
� Application(s)and fee(s)can be brought w City Hall,Room 205 or mailed to Inspeotion Services,p0 gox 1128,Oshkosh WT
54903-1128. Commencing work without pemtit(s)will resuii in fees being doubled or$100.00 plus the normal pecmit fa,which
ever is greazer.
OR
lf vou are Q contrctcror participatrng in the Permit Fee Accoa»t Svsten, Qnd have ndeouQCe fi�nds check here
i ou u�ant �hrs rocesse 1hr u h o�r accoun!
**Advisory-�'oz applicable projects, an Electrical IastaIlation Vex�ificarioa(E�£orw, sitgaed by tb�e Eltctx�ica.X
Contractor or Homeowner(for insta11a�0ions allowed Lo be perPoaned by the homeowner)mnst be snbmitted
witb�t]ae�ermit application. Applications snbmitted withont an EIV wb�em sn.cbt�is xeqnired,w�11 not be
processed for Permit�ssuaYt�e�nd w�i11 be=etamed for completion.
.�ob Address -�44�/� �d V�f K.� �VAIUC(Including labor and materials) �DO C� � � DStC 2 /
Owner Qs��s� �-a.•yo Contractor �v.r�T2.���- � So.,s
❑Sitigle Faruil� ODaplex ❑Multi-Faroily ❑Rental ❑Comroercial �ndustrial
Number of Fixtures:
BecAtub Sump Pump plasur Sink Roof D�ain
Shower San.Sump/Pump Scullery Sink Soda bisp
whirlpool Wnter Sottener Service Sink Coft'ee Mk�'
Lavatory Standpipe ReC Shamp Sink Site Drain
Toilet Gnrage�D Surgeons Sink Waitrs Stn
Ki�Sink Local Wasre S�erilizer IceChesc
Disposal Bar Sink fiPZ Valve Comm]ce Maker
Dishwasher Hreaktm Slnk Bidet ]nt Grease Trap
FloorOrain Classrm Sink Urinal ExtOreese'Crap
'l�ose Bibb ExBm Sink $eer TeP BYe Wash Stn
Wacer Hearer F Prep Sink Dipper Well Deduct Me�er
J Gss'J Elect Q AwrVn[ �loor Sink Drink Fnm WW Sewer Mtt
Clothes Wshr Haitd Sink Wash Fntn Wtr Usege Mtr
Lndty Troy �g;,,k Catch Basin Miac Fixtures
Electric Contraetor(for projecis not requiring an EIV Form)
Use/Nature of Work��/A�..- ��-�_ ��d���r..,��,'
Size Matecial Type # Conn.Type
Sanitary Sewer
Storm Sewec
Water Service � � � � � . :
� �i/� S12� r,. �ss�b�L
06/09