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OSHKOSH
ON THE WATER
Job Address 1100 CANTERBURY DR
CITY OF OSHKOSH
No
112421
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DENNIS R/WENDY KING
Create Date
01/25/2005
Contractor CULLIGAN WATER CONDITIONING
Category 420 - Residential-Other
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
- - - - - -
Whirlpool 0 Floor Drain 0 Water Softner 1 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - - - -
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
-
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- - - - - -
Bar Sink 0 Dishwasher 0 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
INSTALL WTR SFNR
Size
Material
Type
#
Conn. Type
Sanitary Sewer
0
0
0
0
0
Storm Sewer
0
0
0
0
0
Water Service
0
0
0
0
0
Parcelld #
1310880000
$20.00 U Permit Voided I
Valuation
$350.00
Plan Approval
$0.00
Permit Fees
Issued By
Date 01/25/2005
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
Address
405 PROSPECT AVE
Agent/Owner
N FOND DU LAC
WI 54937 - 1498
Telephone Number
235-1490
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.