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0
OSHKOSH
ON THE WATER
Job Address 930 W 6TH AVE
CITY OF OSHKOSH
No
116020
PLUMBING PERMIT -APPLICATION AND RECORD
Owner ELIZABETH M GRUETZMACHER
Create Date 08/30/2005
Plan
Contractor D R GLAZE PLUMBING
Category 410 - Residential-Interior
Bathtub a
Whirlpool a
Lavatory a
Toilet 0
Res. Sink 1
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
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
a
a
a
0
0
a
0
a
a
Shamp Sink ~
FlrlWst Sink a
Catch Basin a
Wash Ftn a
Urinal a
Standp Rec a
Ice Maker a
Gar Drain a
Soda Disp a
Coffee Maker ~
Int Grease Trap ~
Ex! Grease Trap ~
RPZ Valve a
Eye Wash Statn 0
Wtr Sewer Mtrs a
Deduct Meters a
Wtr Usage Mtrs a
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Sterilizer
Dip Well
Drink Ftn
a
a
0
a
a
a
a
a
0
Wai!.S!.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Install replacement kitchen sink (ck# 3904)
Size Material Type # Conn. Type
Sanitary Sewer a
a
0
a
a
Storm Sewer 0
a
0
0
a
Water Service a
a
a
a Parcelld #
0 0604320000
$1.145.00
Plan Approval
$0.00
$20.00 0 Pennit Voided I
Permit Fees
Date 08/30/2005
In the perfonnance of this work, I agree to perfonn 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 perfonn the work
described in this penni! application within an easement, the City strongly urges the pennit applicant to contact Ihe
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address
Date
1865 JAMES RD
AgenllOWner
OSHKOSH
WI 54904 - 0000
Telephone Number 920-589-4014
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.