HomeMy WebLinkAbout0157918-Plumbing (water lateral) � CITY OF OSHKOSH No 157918
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 339 W 20TH AVE Owner OSHKOSH CORPORATION Create Date 09/25/2013
Contractor KURT ZENTNER&SONS INC Category 430-Industrial-Exterior(Laterals) 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
Whirlpooi 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
Disposai 0 Gar Drain 0 Plaster Sink 0 Dip Well 0 Comm Ice Maker 0
Dishwasher 0 Locai 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 INDUSTRIAU replace water lateral with 4"C-900 PVC
of Work
'*"debit acct'*
i
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service 4" Plastic Lateral 1 New
Parcel Id#
1411250000 :
Valuation $15,000.00 Plan Approval $0.00 Permit Fees $50.00 ❑ Permit Voided'.
Issued By �� Date 09/25/2013
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.
City of Oshkosh �
Inspecdon Services bivision �
PO�ox1130
Oshkosh,WI 54903-1130
Phone:(920)Z36-5050 HK 1H
Fax:(920)236-5084
C`?MF 1MA7f.R
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 siatutes.
• Application(s)and fee(s)can be brought to Ciry Hall,Room 205 or mailed to Inspection Services,PO Box 1128,Oshkosh WT
54903-1128. Cornmencing work without permit(s)will result in fees being doubled or$100.00 plus tbe normal permit fee,which
ever is greater.
OR
1 u are a c ntractor artici tin in r e Permi F e Ac tint S stem and have a uare unds c ck her
i ou want this r cessed lhrou h ur acco nt
'�"Advisoxy-FoY applicable projects, aa Eletlxical Installation Verification(ETV)form, signed by the Elet�rical
Co�ractor v��iomeowaer(for installations allowed to be pe�ormed by the homeownt�r)mnst be sabmitted :
with the pe�mit appl�cation. Applications snbmitted withont an E�V when snch is reqased, �cviIl not be
processed�or Permit Lssnance and w�71 be retunaed for completion.
� �
rob A,ddress �3� L✓. �O V'alue(Includ��g lebor and�cerials) �� DOO,� Date `� ����-3
Owner �1 G�SL �,�� Contractor ���T'�����-� S o�.''s
�Siugle Family Oriuplex ❑Multi-Family ❑Rental ❑Commercial �ndustrial
Number of Fixtures:
Bathtub Sump PumP Plastu Sink RoOf Drain
Shower San.Sump�Pump Scullery Sink Soda Disp
Waxr Sottener Service S�nk CofPee Mkr
Whirlpool :
�avetory Standpipe Re� Shemp Sink Si[eihain
Toiles G�arage Fb Stageori4 S�nk W�tr'Stn
Ki�Sink Local Wasu Stsrilizer ice Chest
p��� Bar Sink RPZ Valve Comm Ice MaEcer
Dishwashcr B�e�krm Sink Bidet Int Grease Trep
Floo�D�ain Ctassrtn Sink Urinal �ct OreaSC Trap
Hose Bibb Exam Sink Beef Tap Eye Wash sm
Wacer FTeecer F PreD Sink DiPper Well Deducc Meeer
0 das 0 E►ece�PwrVnt Floor Sink brink Fnrn wtr 5ewer Mtr
Clo�hes Wshr Hend Sink Wash Fnm Wv Usage Ma
l,ndry Tray l,ab Sittk Cetch gesih MisC Fixtvres
Electric Contractor (for projects not requiring an �IV Form)
Use/�V'atnre of Work �'/15���,1 l '� 4-�--r�'�'`�
Size Material Type # Conn.Typc
SaniCary Sewer
Storm Sewer
Water Servicc !�e'�' ��QO p(/lj �� ��- js1 ��
06/09