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OSHKOSH
ON THE WATER
Job Address 2550 S WASHBURN ST
Contractor O'NEILL ENTERPRISE INC
CITY OF OSHKOSH
No
115655
PLUMBING PERMIT - APPLICATION AND RECORD
OWner RICHARD KOHLHOFF
Create Date 08/0212005
Plan
Category 440 - Industrial-Interior
Coffee Maker 0
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain ----.! Local Waste 0 Ice Chest 0 FlrlWstSink 0
Lavatory 4 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 4 Disposal ~ Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump ~ Lab Sink 0 PlasterSink 0 Standp Rec 0
Water Heater 2 Classrm Sink ~ Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind ~ Drink Ftn 0 Serv Sink 2 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Valuation
Issued By
New retail mall with sewer and water service (Debit Account)
Size Material Type # Conn. Type
Sanitary Sewer 6" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 8" Plastic Lateral 1 New
0
0
0 Parcelld #
0
$22,900.00
$0.00
$191.00 D Permit Voided I
Plan Approval
Permit Fees
Date 0810812005
In the performance of this work, I agree to perform ail 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
Address 5575 CTY RD N
Date
Agent/Owner
PICKETT
WI 54964 - 0000
Telephone Number
920-428-4700 589-;
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.