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Home My WebLink About0158513-Plumbing (repair cross connection): � CITY OF OSHKOSH No 158513 OSHKOSH PLUMBING PERMIT -APPUCATION AND RECORD ON THE WATER Job Address 2855 OREGON ST Owner W-M INVESTMENTS LLC Create Date 10/29/2013 Contractor KURT ZENTNER 8 SONS INC Category 442-Commercial-Interior(New/Relocated Fixt� 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 Whirlpool 0 Sump Pump 0 F Prep Sink 0 RPZ Valve 1 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 Weil 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 COMM/repair cross connection issues per Hydro Design survey � of Work "debit acct" Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Parcel Id# 1413430000 Valuation $3,000.00 Plan Approval $0.00 Permit Fees $30.00 ❑ Permit Voided; Issued By �(�(i Date 10/29/2013 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 parry, 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. i City of Oshkosh � Inspecrion Services Division � P O Box 1130 Oshkosh,WI 54903-1130 Phone:(920)236-5050 fHK01H Fax:(920)236-5084 av TH5 WAt'FR plumbing Permit Application I hereby apply for a permit to do and instail the foltowing plum.bing on the premises hererna�er described,the work to confocm to the Wisconsin State�'lumbing Code,in the performance of which all parties hereto agree to and are bound by said statUtes. • Application(s)and fee(s)can be brought to City Hall,Room 205 or rpailed to Inspection Services,PO Box 1128,Oshkosh WY 54903-1128. Commencing work without permit(s)will result in fees be'rng doubled or$100.00 plus the normal permit fce,which ever is greater. I ou are a conO�clor articX atin in the Permit F Ace unl S ste� Qnd Qve ade uate unds eheck here i ou wan� this roces ed throa h our ccoun� **Advisoxy-For applicable projeets, an Eleetrical Tnsiallat�ion Verification(EI�form, signed by the Electr►cal Con�actor ox Homeownet(for installations allowed to l�e pe�ormed by the homeownes)mast be submitted lication. A lications snbmdtted�v'ithont an EXV when snch is reqn�ed,w�l.not be with the permit app ' PP ptocessed for Permit Tssnauce an d w�1 1 b e re t a rn e d f or co m pletion. � J'ob Address Z. .5`-� � �VaI11e(lncluding labor end meterials) -3O�D � Date � �3 O�cvaer Contractor � ��rt�w ; .�o�S �•yC,r Rental ommercial ❑Industrial �Sin�le Famrly aDuplex �Multf-Family ❑ .� Number of Fixtures: ee�hwb Sump Pump 7lascu Sink Roof I>raln Shower San.Sump/Pump Scullery Sink SodalJ+ep Whiripooi Water Softener Service Siak Coffee Mkr I.avatory Srandpipc Rec Shamp Sink Slte Drein Toilel GarOge FD Surgeo�Sink Waitrs Sm Sterilizer !ce Chest Ki�Sink Local waste . , �Z�� Comm lce Makcr D'�°� g�S�� lnc Grease Trap Breaktm Sink Bidat Dishwasher Urinal E'a dreas`rrap Classrm Sink Floor Drain Boer Tap �ys wash Sm Kose BiCb Z E��Sink Ui rWell DeductMeur Water Hc�ner �Prep Sink p� q Gas C]�lecc 0 PwrVnt pioor SIIilc Drink Fnm Wv Sewer Mtr Clothes Wshr Hand Sink Wesh Fnm Wu Usage Mtr Lnctry Tray Lab Sink Cauh Basin Misc Fix�ures Etectric Coatractor(for projects not requiria�an EI'V'Form) YTse/Natare o�Work r � Size Material 'Type # Conn.Type Sanitary Sewer . Storm Sewer Water Service 06/09