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OSHKOSH
ON THE WATER
Job Address 385 LILAC ST
CITY OF OSHKOSH
No
113199
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DEWEY HOMES INC Create Date 03/29/2005
Category 401 - Residential-Exterior (laterals) Plan
0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
- - - - -
0 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
- - - - -
0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- - - -
0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
- - - - -
0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
- - - - -
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
- - - - -
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
- - - - -
0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
- - -
0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Contractor J & P EXCAVATING
Bathtub 0 Shower
-
Whirlpool 0 Floor Drain
-
Lavatory 0 Lndry Tray
-
Toilet 0 Disposal
-
Res. Sink 0 Dishwasher
-
Bar Sink 0 Sump Pump
-
Water Heater 0 Classrm Sink
-
Site Drain 0 Breakrm Sink
-
Roof Drain 0 Ejector/Grind
-
Misc. 0
Fixtures
Use/Nature
of Work
NSFR
Size Material Type # Conn. Type
Sanitary Sewer 0
0
4 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
4 Plastic Lateral 1 New
0
0
Water Service 0
0
Copper Lateral 1 New
0 Parcelld #
0 0611630200
U Permit Voided I
Valuation $550.00 Plan Approval $0.00 Permit Fees $150.00
Issued By Date 03/29/2005
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
3162 SCENIC DR
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number
379-0309 (C)
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.