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OSHKOSH
ON THE WATER
Job Address 111 FULTON AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
116781
Owner ELAINE M WASTART
Category 411 - Residential-Water Heaters
Contractor M P KELLY
Create Date 10/14/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 WaitSt
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 0 Dishwasher 0 Beer Tap 0 Hand Sink
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink
Water Heater 1 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
0 Shamp Sink ~
0 Flr/WstSink 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 0
Int Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
I"~m~w^~" "~m
Size
Material
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Type
#
0
0
0
0
0
Parcelld #
1000140000
Valuation
$707.00
$0.00
Permit Fees
$20.00 0 Permit Voided I
Plan Approval
Issued By
Date 10/14/2005
In the performance of this work, I agree to perform 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 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 acüvity.
Signature
Date
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431
Telephone Number 231-1750
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.