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OSHKOSH
ON THE WATER
Job Address 1505 E NEVADA AVE
CITY OF OSHKOSH
No
117131
PLUMBING PERMIT - APPLICATION AND RECORD
OWner RUSSELL AlK 0 RILL
Create Date 11/03/2005
Contractor SAMMONS PLUMBING
Category 410 - Residential.lnterior
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWstSink 0 Int Grease Trap 0
Lavatory 0 LndryTray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 1 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ---2 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. ---2
Fixtures
Use/Nature
of Work
rrM'~' .~
Size
Type
#
0
0
0
0
0
Material
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1513120000
Valuation
$300.00
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Issued By
Date 11/04/2005
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 permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 522W.MURDOCKAVE
Agent/Owner
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 pertormed within two business days from the time the project is ready.