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OSHKOSH
ON THE WATER
Job Address 472 SUNNYBROOK DR
CITY OF OSHKOSH
No
117477
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PAULA K BRITTON
Contractor M P KELLY
Category 410 - Residential-Interior
Create Date 12/01/2005
Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0 Shamp Sink 0
Whirlpoot 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 0 Disposal 1 Bidet 0 sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0
Bar Sink 0 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 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature rrn ,~"'~
of Work
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash statn ~
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Size
Material
Type
#
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
0
0
0
0
0
0
0
0
0
0
Parcelld #
1622800000
Water Service
Vatuation
$379.00
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Issued By
Date 12/05/2005
In the perfonnance of this work, I agree to perfonn 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 perfonn the work
described in this pennit application within an easement, the City strongly urges the pennit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 665 N MAiN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431
Telephone Number 231-1750
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.