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OSHKOSH
ON THE WATER
Job Address 3001 SWASHBURNST
CITY OF OSHKOSH
No
117343
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor PACE CORP
Category 440 - Industrial-Interior
Create Date 11/14/2005
Plan
Owner FIRST HORIZON GROUP LIMITED PTNSHP
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 3 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 2 LndryTray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 2 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 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ~ Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 2 Serv Sink 1 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
ofWork
080 - Old Navy - Combine spaces 075 and 080 into one tenant space, remodel for this tenant.
MP223084
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 1329420000
Valuation
$10,000.00
Plan Approval
$0.00
Permit Fees
$77.00 D Permit Voided I
Issued By
Date 11/17/2005
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 NS94 CTY HWY CB
Agent/Owner
APPLETON
WI 54915 - 8598
Telephone Number 920-731-5281
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.