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CITY OF OSHKOSH
115404
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address1775 LOMBARD AVEOwnerSANDRA LEA SHERMANCreate Date07/25/2005
ContractorMOREMAN PLUMBINGCategoryPlan
411 - Residential-Water Heaters
0
Water Softner
Bathtub0Shower00Wait. St.0Shamp Sink0Coffee Maker
00
WhirlpoolFloor DrainIce ChestFlr/Wst Sink
00Local Waste00Int Grease Trap
Clothes Wshr
Lavatory0Lndry Tray00Exam Sink0Catch Basin0Ext Grease Trap0
0
ToiletWash Ftn
0Disposal0BidetSculry Sink00RPZ Valve
0
Dishwasher
Res. Sink0Beer Tap0Hand Sink0Urinal0Eye Wash Statn
0
0
Bar Sink
0Sump Pump0Lab Sink0Plaster Sink0Standp Rec0Wtr Sewer Mtrs0
Water Heater1Classrm SinkSterilizerSurgeons SinkIce MakerDeduct Meters
00000
Site Drain0Breakrm SinkDip WellF Prep SinkGar DrainWtr Usage Mtrs
0
0000
Drink FtnServ Sink
Roof Drain0Ejector/GrindSoda Disp
0000
Misc.
0
Fixtures
Use/Nature Install gas water heater.
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
Parcel Id #
0
1611450000
$0.00Permit Voided
Valuation$600.00Plan ApprovalPermit Fees$20.00
Issued ByDate07/25/2005
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.
Date
Signature
Agent/Owner
AddressPO BOX 1325OSHKOSHWI54903-0000Telephone Number231-9191
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.