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OSHKOSH
ON THE WATER
Job Address 833 W 18TH AVE
CITY OF OSHKOSH
No
117139
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BRYAN A PURCHATZKE
Category 411 - Residential-Water Heaters
Contractor SAMMONS PLUMBING
Create Date 11/04/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.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 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 DipWell 0 F Prep Sink
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink
Misc. 0
Fixtures
0 Shamp Sink ~
0 Flr/Wst Sink 0
0 Catch Basin 0
0 Wash Ftn 0
0 Urinal 0
0 Standp Rec ~
0 Ice Maker 0
0 Gar Drain 0
0 Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ex! Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
ofWork
r'~-" "" - "-
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$450.00
Plan Approval -:gJ.00
Date 11/04/2005
Permit Fees
Issued By
Type
#
0
0
0
0
0
Conn. Type
Parcelld #
1411890000
$20.00 0 Permit Voided I
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 strongly urges the permit 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 othervvise, 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.