HomeMy WebLinkAbout0157952-Plumbing (water heater) �
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� CITY OF OSHKOSH No 157952 t
�
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 354 W 20TH AVE OwRer MICHAEL C RIESE ETAL Create Date 09/27/2013
Contractor KURT ZENTNER 8�SONS INC Category 411 -Residential-Water Heaters Plan
Inspector Jon Mueller
Bathtub _ 0 Ciothes 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 FINWst Sink 0 Bidet 0 Site Drain 0 Misc. p
Toilet 0 Water Softner 0 Hand Sink 0 Urinal 0 Wait.St. � 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 1
Use/Nature FR R/EPLACE 40 GALLON NG WATER HEATER "debit acct
of Work
�
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
1406990000
Valuation _ $700.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided �
Issued By ��t�l_J Date 09/27/2013
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 Oslilcosh �
Insp�ction Services Division
P 0 Box 1130 �
Oshkosh,WI54903-1130
�'600c:(920)23G-5050 O�V �
FaM:(920)23G-5084 �\ :
ON PHn�.VATFR
Plumbing Permit Application
I hereby apply for a permie to do and inscall th�followxng ptun�bing on the preu�ises hereinafter described,the wock to confo�m to tlie
Wisconsin State Plnmbing Code,in the pez�'ormance of whicb�Il parties hereto agzee to and are buund by said stah�t¢s.
• Applicatiun(s)and fez(s)catt bz bruugl�t to Ciry Hall,Room 205 or n�ailed tu Iuspection Services,PO Sox 1135,Oshkosh WI
54903-1128, Comtlae��ci�1a work without permit(s)will[esult ia�fees being douhled or$100.00 pLt�s the qornaal permit fee,which
ever is gteatex_
OR
I u are a con.rne.tor nrlici tin ir� tTre Perm' F e Acc.ount ' s�enr nnd have nde uar.e unds checb: here
i �ou wnnt thzs �•ocessed throu h vour accoa�nt
**Advisory-FoY����icable projeets, az►E�ectricai Instal�aUion Verification(EI�form, signed by the Elec�ical
Contractor ox Homeowner(for iustallarions allowed to be performed by the homeowner)xnust be submitted
with the�e�t applicadon. Applicati.ons st�bbniited withont a�a E�V when sucb�s xequired,will not be
processed for Pe�x.uit Issuance aud will be returned�'oz completion.
�/� I ��,(�!�� If � ���
Job,t#ddres��� , (i�/���i�Vl L/�'BIUe (Inclt+4ing l�bot�nd materials) l DO, D�te
O er ``�,(�1� �`P�IrI� �1 �Contractor ��1�� D� ��
' gle Family �Duplex OMu�t�-�amily QXteptat ❑Comme�-c�al �Iudustr�ial
Numbe�r o�'Fixtures:
Batbtub Sump lkuup plaster Si�ilc Ruc+f Drain
Slion•er $aa-Sump/Pnmp Seullery Sink Soda Disp
V✓hiApuol water Softeriet Service Siul: (:ofiee Mkr
I.avatory Standpipe�ee Sl�amp Sink Sita Diaiq
Toilet Gmge FD Surgeons Siak Waitrg Stn
Kie Siak Local Waste Sterilizer (ce C'heat
D�spo�I Bnr Sink RYZ Valve Comu�Ice Malcer
Diah���asha Braakrm Sis�k Bidet Iot Greue'�r•rp
Floos'Dcain Clnserm Sink Udna1 6xt Grease Trap
Hose Btbb ExaAO.Sip.k Beer Tnp Eye�l'ash Sw
W�c r Heatv �_ F Pr�p Sink Dipper Well Dcduci Nletcc
�Gas=�lect=P�vtVnt F1oor Sink Dria+k Fnu1 W1Y SCNK MV
C�O�IC9 W6I1T Hand Sink �Vaeh Fam Wtr Usage Mtr
Lndry Tray Lob Sink Cntch Sasin Mir,c FixtuzYs
Electric ContraMox(for projects not requiurin an EY'V Form)
Use/Nature of Work '
Size Material Type # Conn.Type
Sanitsuy Szwec '
Stoma Sewer
Water SeNiCe
OE/95