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OSHKOSH
ON THE WATER
Job Address 1510 MARICOPA DR
CITY OF OSHKOSH
No
117245
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BRUCE P/NANCY ROUNDS
Create Date 11/10/2005
Contractor KOCH PLUMBING
Category 410 - Residential-Interior
Plan
Bathtub 1 Shower 1 Water Softner 0 Wail.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain 0 Local Waste ---.2 Ice Chest ---.2 Flr/WstSink ---.2
Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink ---.2 Catch Basin 0
Toilet 1 Disposal ---.2 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0
Bar Sink ---.2 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Site Drain ---.2 Breakrm Sink 0 DipWell ---.2 F Prep Sink 0 Gar Drain 0
Roof Drain ---.2 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp ---.2
Misc. 0
Fixtures
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
0
0
---.2
0
0
0
0
0
Use/Nature
of Work
FRI Replace plumbing fixtures in upper bath! debit acct.
Size" Material Type # Conn. Type
Sanitary Sewer 0
0
0'
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1319830000
Valuation
$3,000.00
Plan Approval
$0.00
Permit Fees
$28,00 0 Permit Voided I
Issued By
Date 11/10/2005
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 strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity,
Signature
Date
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 0000
Telephone Number
920-231-6661 or 235
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.