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0
OSHKOSH
ON THE WATER
Job Address 1155 HEIDI HAVEN DR
CITY OF OSHKOSH
No
117365
PLUMBING PERMIT -APPLICATION AND RECORD
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
1
0
4
3
1
0
1
0
0
2
Shower
Floor Drain
2
1
0
1
1
1
0
0
0
Water Softner
Local Waste
Clothes Wshr
Owner RUSCH HOMES LLC
Create Date 11/21/2005
Plan
Category 410 - Residential-Interior
0
0
1
0
0
0
0
0
0
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
0 Shamp Sink 0
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 0
Ext Grease Trap ----'!
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Hose Bibs
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Use/Nature
ofWork
I'. ~ -'"~.,
Valuation
Issued By
Sanitary Sewer
Size
Storm Sewer
Water Service
$6.275.00
Plan Approval
Material
$0.00
Permit Fees
Type
#
0
0
0
0
0
Conn. Type
0
0
0
0
0
$133.00 0 Permit Voided I
Parcelld #
1342953000
Date 11/21/2005
In the performance of this work. I agree to perfonm 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 appiicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Telephone Number
920-410-5933
Address PO BOX 3904
Agent/Owner
OSHKOSH
WI 54903 - 3904
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.