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OSHKOSH
ON THE WATER
Job Address 613 N SAWYER ST
CITY OF OSHKOSH
No
117143
PLUMBING PERMIT -APPLICATION AND RECORD
Owner DOUGLAS R KILDAY
Create Date 11/04/2005
Plan
Contractor SAMMONS PLUMBING
Category 410 - Residential-Interior
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 1 Disposal 0
Res. Sink 0 Dishwasher 0
Bar Sink 0 Sump Pump 0
Water Heater 0 Classom Sink 0
Site Drain 0 Breakrm Sink 0
Roof Drain 0 Ejector/Grind 0
Misc. 0
Fixtures
Water Softner ~ Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap 0
Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Drink Ftn 0 Serv Sink 0 Soda Disp 0
Use/Nature
of Work
r'-'.'~
Type
#
0
0
0
0
0
Size
Material
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1604380000
Valuation
$200.00
Plan Approval ~. $0.00
Peomit Fees
$20.00 0 Permit Voided I
Issued By
Date 11/04/2005
In the perfoomance 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. MURDOCK AVE
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 performed within two business days from the time the project is ready.