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OSHKOSH
ON THE WATER
Job Address 370 ZARLING AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
116144
Contractor SAMMONS PLUMBING
Category 410 - Residential-Interior
Owner THOMAS J BORISCH ETAL
Create Date 0910612005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait St.
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 Sculry Sink
Res. Sink 1 Dishwasher 0 Beer Tap 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 EjectorlGrind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
0 Shamp Sink ~
0 FlrlWst Sink 0
0 Catch Basin ~
0 Wash Ftn ~
0 Urinal ~
0 Standp Rec 0
0 Ice Maker ~
0 Gar Drain ~
0 Soda Dlsp ~
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
UselNature
ofWork
I-"'~M'",
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation /$1.000.00
Issued By r'
Parcelld #
0000000000
$0.00
Permit Fees
Plan Approval
$20.00 0 Permit Voided I
Date 0910612005
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 strongiy urges the penmit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 522W.MURDOCKAVE
AgenUOwner
OSHKOSH
WI 54901 - 2298
Telephone Number 231-9880
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.