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OSHKOSH
ON THE WATER
Job Address 1495 W SOUTH PARK AVE
CITY OF OSHKOSH
No
116629
PLUMBING PERMIT -APPLICATION AND RECORD
OWner NOR-AM INC
Create Date 10/06/2005
Contractor OGDEN PLUMBING
Category 440 - Industrial-Interior
Plan
Bathtub 0 Shower 0 Water Softner 0 Wall.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res, Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 Sump Pump .-------!! Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 0 Classrm Sink .-------!! Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain 0 Breakrm Sink .-------!! Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc, 0
Fixtures
Coffee Maker .-------!!
Int Grease Trap .-------!!
Ex! Grease Trap .-------!!
RPZ Valve 3
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
r"'"" (~~-
~
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1307440200
$21.00 0 Permit Voided I
Valuation $4,200.00
Issued By ./
\
Plan Approval
$0.00
Permit Fees
Date 10106/2005
In the performance of this work, I agree to perform ail work pursuant to ruies 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 permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenVOwner
Address PO BOX 689
NEENAH
WI 54957 - 0689
Telephone Number 725-8985
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,