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CITY OF OSHKOSH ( ? tto 109876
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECOR r j
ON THE WATER F /
Job Address 1309 POWERS ST Owner STEVE E DRUCKREY Create Date 08/09/2004
Contractor HOMEOWNER Category 410 - Residential- Interior Plan
Bathtub 1 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0
Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int GreaseTrap 0
Res. Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 1 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature
of Work
REMODEL KITCHEN & 1ST FLOOR BATH
Size Material Type # Conn. Type
Storm Water 0
0
0
0 Parcel Id #
0 1507880000
Valuation $2,000.00 Plan Approval $0.00 Permit Fees
$35.00 ❑ Permit Voided
Issued By Date 08/09/2004
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, h: - by acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be em • toyed to assist with the ork de crib - d by this permit. If an individual will be employed to install plumbing
the work it
id must be covere • • y I. ermit is . u • to a properly licensed Master Plumber.
In the pe .1 agr- - to pe •rm all wo 3ursuant to rules goveming the described construction.
Signature -- t(
Date
Agent/Owne
Address 1309 POWERS ST OSHKOSH WI 54901 3945 Telephone Number 235 -1600
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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.
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.