HomeMy WebLinkAbout0157211-Plumbing (temp plbg for trailer) � CITY OF OSHKOSH No 157211
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2451 BADGER AVE Owner CURWOOD INC Create Date 08/07/2013
Contractor KURT ZENTNER 8�SONS INC Category 445-Commercial-Exterior Other Plan
Inspector Jon Mueller
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
Whiripool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 0 Coffee Maker 0 Wtr Usage Mtrs 0
Lavatory 2 San Sump/Pump 1 Flr/Wst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 2 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. 0 Fixtures .
Kit Sink 1 Standp Rec 0 Lab Sink 0 Beer Tap 0 Ice Chest p
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
Water Heater 0
Use/Nature OMM/install temporary plumbing for trailer '
of Work
debit acct**
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1325000000
Valuation $5,000.00 Plan Approval $0.00 Permit Fees $54.00 ❑ Permit Voided�,
Issued By �j/!�v Date 08/14/2013
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 ho�der(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.
City of Oshkos� �
inspection Services Division
P 0 Box l 130 �
Oshkosh,WI 54903-1130
Phone:(920)236-5050 � uVO�u
Fax:(920)236-5084 r�i� r- �
p:�7HF.wATF.R
Plumbing Permit Application
I he�eby apply for a permit to do and instsll the following plumbing on the premises hereinaRez described,the work co conform to the
W isconsin State Plumbing Code,in the perfonmance of which all parties hereto agree to and are bound by said statutes.
• Applicat'ton(s)and fee(s)can be brougat to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WI
54903-I�28. Gommencing work without pemtit(s)will result xn fees being doub�ed or$100.00 plus the normal permat fee,which
ever is greater.
OR
1 u are � con! actor artici tin i the P 'i ¢ Acco t S s em and have a e aeafe urrds heck here :
i zr w nt this roc2s ed thr u h our account .
'�*Advisory-For applicable projects, an EleetricaX Installation ve�cation(EI��oXm, signed by the Electrieai
Contracmr or�omeowner(for installa.tions allowed to be pe�oimed by the homeowne�r)mast be submitted
with tlae pern�i.t application. ,Applications snbmitted withont an E�V when snch is zeqnired, wiIl not be
processed fox Perm�t Issnan,ce and aill be retnrned for com��letio�t. �
Job Addres � a tIe(]ncluding laborand materisls
"'� Uate ''�
Owner � — Contractor ���� 7-�°' �� �q.��—
❑S'rngle�amily [IDuplex []1Vlulti-Family O�ental ❑Commercie] �l1dP9tl'IAI
Number of Fixtares:
Bathtub SumD Pump Plascer Sink RooFprain
Shower Sen.Sump/Pump � 5cullery Sink SodaDisp
Whirlpoo� Weter Softener Service Sink Coffee Mlv
l.avatory Standpipe Rec Shamp Sink Sise Drain
Toilec � Garsge FD Surgeons Sink Waias Stn
Kit sink � ��W��
5[�rilizer Ice Chesc
Disposal Bar Sink RFZ Velve Comm x�e Maket :
Dishwasher B��S�� Bidet Int Crtease�'rap
Floor Drain
ClassRn Sink Ur'tlnel Ext Grease Trap
Hose 9ibb Exam S+nk aea Tap 6Ye Wash Sm
Wafer Hea�er
F Prep Sink Dipper Well Deduct Meter
� I�Gas 0 Elect❑Pw�Vnt ploor Sink Arink Fnen WV Sewa Mtr
Clahes Wshr Hand Sink wash fi��n Wv Usage Mv
Lndry Tray Lab Sink Cacch Basin Misc Fixcures
Eleet�-ie Coat�ractor(for projeets not cequining an E�V Form)
Use/Natare of Work r � �
Size Material pe # onn.Type
Sanitary Sewer
Storm Sewer
Water Service
06/09