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OSHKOSH
ON THE WATER
Job Address 100 W FERNAU AVE
CITY OF OSHKOSH
No
115963
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LAKESIDE PACKAGING PLUS INC
Create Date 08/23/2005
Plan E8-155-0805-P
Category 440 - Industrial-Interior
Contractor RJ KAMPO PLBG
Bathtub 0 Shower 1 Water Soflner 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 4 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 5 Lndry Tray 0 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 6 Disposal ~ Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 2 Eye Wash Statn 0
Bar Sink 0 Sump Pump ~ Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 3 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 1 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Valuation
Issued By
Remodle existing factory restrooms (CK# 28838)
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 1519601800
$16,000.00
$0.00
$161.00 D Permit Voided I
Plan Approval
Permit Fees
Date 08125/2005
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.
Signature
Address 1000 S WESTLAND DR
Date
Agent/Owner
APPLETON
WI 54914 - 8862
Telephone Number 730-9600
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.