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CITY OF OSHKOSH
112958
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address275 CEAPE AVEOwnerCITY OF OSHKOSHCreate Date03/04/2005
ContractorLEE PLUMBING INCCategoryPlanE8-142-0305-P
440 - Industrial-Interior
0
Water Softner0
Bathtub0Shower0Wait. St.0Shamp Sink0Coffee Maker
Local Waste00
Whirlpool0Floor Drain4Ice Chest0Flr/Wst Sink0
Int Grease Trap
Clothes Wshr0
Lavatory160Exam Sink0Catch Basin00
Lndry TrayExt Grease Trap
Bidet0
Toilet210Wash Ftn0
0Sculry Sink
DisposalRPZ Valve0
Res. Sink0Beer Tap00Urinal5
0
Hand Sink
Dishwasher
0
Eye Wash Statn
Bar Sink0
0Lab Sink00Standp Rec0
Sump PumpPlaster Sink
Water Heater1
0Sterilizer00Ice Maker0
Classrm SinkSurgeons Sink
Site Drain0
0
Breakrm SinkDip Well0F Prep Sink0Gar Drain0
Roof Drain0
Drink Ftn0Serv Sink10
Ejector/Grind0Soda Disp
Use/Nature PARK SHELTER RESTROOM INTERIOR AND EXTERIOR
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer6"PlasticLateral1New
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service2"CopperLateral1New
0
0
0
Parcel Id #
0
$0.00Permit Voided
Valuation$27,000.00Plan ApprovalPermit Fees$0.00
Issued ByDate03/09/2005
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.
Date
Signature
Agent/Owner
AddressP O BOX 7292APPLETONWI54912-0000Telephone Number920-213-3867
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.