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OSHKOSH
ON THE WATER
Job Address 1555 CANDLELIGHT CT
CITY OF OSHKOSH
No
115922
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LEROY A MAXFIELD/J STERKENS
Create Date 07/19/2005
Plan
Contractor KOCH PLUMBING
1 Water Softner
Category 410 - Residential-Interior
Bathtub ~
Whirlpool 0
Lavatory 2
Toilet 1
Res. Sink 0
Bar Sink ~
Water Heater 0
Site Drain 0
Roof Drain 0
Misc. 0
Fixtures
Use/Nature
of Work
Shower
Floor Drain
0
0
0
~
0
0
0
0
~
Wail.SI.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
~
0
0
0
~
0
0
0
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
0
0
0
0
~
0
0
0
0
Shamp Sink ~
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ex! Grease Trap ~
RPZ Valve ~
Eye Wash Statn 0
Wtr Sewer Mtrs ~
Deduct Meters ~
Wtr Usage Mtrs ~
ßFRI Remodeling the master bathroom. (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 1320512000
Valuation
$4,500.00
$0.00
Plan Approval
Permit Fees
Date 0812412005
Issued By
$28.00 0 Permit Voided I
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.
Signature
Date
Address 2005 DOTY ST
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.