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OSHKOSH
ON THE WATER
Job Address 701 N MAIN ST
CITY OF OSHKOSH
No
115656
PLUMBING PERMIT. APPLICATION AND RECORD
Owner 701 MAIN INC
Create Date 08/0812005
Contractor KOCH PLUMBING
Category 440 - Industrial-Interior
Plan
Bathtub a
Whirlpool a
Lavatory 1
Toilet 2
Res. Sink a
Bar Sink a
Water Heater a
Site Drain a
Roof Drain a
Misc. a
Fixtures
Use/Nature
of Work
Valuation
Issued By
Shower
Floor Drain
a
a
a
a
a
a
a
a
a
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Wail.SI.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
a Shamp Sink ~
a Flr/Wst Sink ~
a Catch Basin ~
a Wash Ftn a
a Urinal a
a Standp Rec ~
a Ice Maker ~
a Gar Drain ~
a Soda Disp a
Coffee Maker a
Int Grease Trap a
Ext Grease Trap ~
RPZValve a
Eye Wash Statn a
Wtr Sewer Mtrs a
Deduct Meters a
Wtr Usage Mtrs a
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Sterilizer
Dip Well
Drink Ftn
a
a
a
a
a
a
a
a
a
Breakrm Sink
Ejector/Grind
Install replacement fixtures (Debit Account)
Size Material Type # Conn. Type
Sanitary Sewer a
a
a
a
a
Storm Sewer a
a
a
a
a
Water Service a
a
a
a Parcelld #
a 1004300000
$1,200.00
Plan Approval
$0.00
$21.00 0 Permit Voided I
Permit Fees
Date 08108/2005
In the performance of this work, I agree to perform all work pursuant to rules goveming 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.
Address 2005 DOTY ST
Signature
Date
Agent/Owner
OSHKOSH
WI 54902 - 0000
Telephone Number 920-231-6661 or 235
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.