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OSHKOSH
ON THE WATER
Job Address 1240 HEIDI HAVEN DR
CITY OF OSHKOSH
No
115777
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 07/27/2005
Category 410 - Residential-Interior Plan
2 Water Softner 0 Wai!.S!. 0 Shamp Sink 0 Coffee Maker 0
1 Local Waste 0 Ice Chest 0 FlriWst Sink 0 Int Grease Trap 0
0 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap ---.J!
1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
1 Lab Sink 0 PlasterSink 0 Standp Rec 2 Wtr Sewer Mtrs 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Contractor SBS PLUMBING LLC
Bathtub 1 Shower
Whirlpool 0 Floor Drain
Lavatory 3 Lndry Tray
Toilet 3 Disposal
Res. Sink 1 Dishwasher
Bar Sink 0 Sump Pump
Water Heater 1 Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0
Fixtures
Use/Nature
of Work
Install plumbing new SFR (Debit Account)
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1342954500
Valuation
$7,325.00
Plan Approval
$0.00
Permit Fees
$126.00 0 Permit Voided I
Issued By
Date 08116/2005
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 appiication 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 PO BOX 3904
Agent/Owner
OSHKOSH
WI 54903 - 3904
Telephone Number
920-410-5933
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.