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OSHKOSH
ON THE WATER
Job Address 3420 MARVEL DR
Contractor AREA MECHANICAL
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
116016
OWner NORTHWESTERN ENVIRONMENTAL SYSTEM Create Date 08/29/2005
Category 430 - Industrial-Exterior (laterals)
Plan
Bathtub 0 Shower 0 Water Softner 0 Wail.SI.
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink
Toilet 0 Disposal 0 Bidet 0 Scurry Sink
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
Use/Nature
ofWork
I-"--.~
0 Shamp Sink ~
0 FlrlWst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Size
Material
Conn. Type
Sanitary Sewer
Storm Sewer
8"
Plastic
Water Service
Valuation
$4,000.00
$0.00
Permit Fees
Date 08/3012005
Plan Approval
Issued By
Type
#
0
0
0
0
0
1
0
0
0
0
New
Lateral
0
0
0
0
0
$50.00 0 Permit Voided I
Parcelld #
In the performance of this work, I agree to perform all work pursuant to rules govemlng 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 hol r(s) and to secure any necessary approvals before starting such activity.
Signature
AgenUOwner
FOND DU LAC
WI 54936 -1101
Address PO BOX 1101
Date
R- sO-Or
Telephone Number 922-9495
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.