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0
OSHKOSH
ON THE WATER
Job Address 1448 MARICOPA DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
117132
Contractor SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
ofWork
0
0
0
0
0
0
1
0
0
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Owner VERNON LAFOND
Category 411 - Residential-Water Heaters
Create Date 11/03/2005
Plan
0 WaterSoftner
0 Local Waste
0 Clothes Wshr
0 Bidet
0 BeerTap
0 Lab Sink
0 Sterilizer
0 Dip Well
0 Drink Ftn
0
0
0
0
0
0
0
0
0
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
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 0
Int Grease Trap 0
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
r~"'.' "0 -, 'æ~
Valuation
Issued By
Sanitary Sewer
Size
Storm Sewer
Water Service
$600.00
$0.00
Plan Approval
Material, .
Permit Fees
Type
,#
Conn. Type
0
0
0
0
0
$20.00 D Permit Voided I
Parcelld #
1317670000
Date 11/04/2005
In the performance of this work. I agree to perform an 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 strongiy urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Telephone Number
231-9880
Address 522 W. MURDOCK AVE
AgenUOwner
OSHKOSH
WI 54901 - 2298
To schedule inspections please cali 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.