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� CITY OF OSHKOSH No 122721
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 313 315 KNAPP ST Owner RONALD UCYNTHIA K BAEHMAN Create Date 07/26/2006
Contractor CULLIGAN WATER CONDITIONING Category 410-Residential-Interior Plan
Bathtub Shower Water Softner 1 Wait.St. Shamp Sink Coffee Maker
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res.Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector/Grind Drink Ftn Sery Sink Soda Disp
Misc.
Fixtures
Use/Nature DUPLEX(313)/INSTALL WATER SOFTNER
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of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id#
0608720100
Valuation $350.00 Plan Approval $0.00 Permit Fees $25.00 ❑ Perrnit Voided� _
__ _ --- -- ,
Issued By( ) Y 1 1�J Date 11/29/2006 �
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 perforrn 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
Agent/Owner
Address 405 PROSPECT AVE N FOND DU LAC WI 54937 - 1498 Telephone Number 235-1490 OR 233-05
To schedule inspections please call the Inspection Request line at 236-5128 noting the Add�ess, 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.