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OSHKOSH
ON THE WATER
Job Address 107W11THAVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
117220
Contractor LUDWIG'S PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
1
0
0
0
1
0
0
0
0
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
0
0
0
0
0
0
0
0
0
Water Softner
Local Waste
Clothes Wshr
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
r""" ~"œ ~ , '"- ~ ..
Use/Nature
ofWork
Owner KURT UCYNTHIA MEIER
Create Date 11/10/2005
Category 410 - Residential-Interior
Plan
0
0
0
0
0
0
0
0
0
Wai!.S!.
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 ----"-
Ex! Grease Trap ----"-
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Sanitary Sewer
Size
Storm Sewer
Water Service
Material
Valuation
Issued By
Type
#
$0.00
Permit Fees
Conn. Type
Parcelld #
0302890000
$2.000.00
Plan Approval
$20.00 D Permit Voided I
Date 11/10/2005
WI 54901 - 0000
1903 ASHLAND AVE
Agent/Owner
OSHKOSH
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 e",Sement 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.
Date
Signature
Telephone Number 231-5770
Address
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.