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OSHKOSH
ON THE WATER
Job Address 3875 SHOREBIRD CT
CITY OF OSHKOSH
No
117702
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BRENDA M CARMAN
Create Date 12/2812005
Contractor ZILLGES EXCAVATING
Category 401 - Residential-Exterior (laterals)
Plan
Bathtub a Shower a Water Softner a Wail.SI. a Shamp Sink a Coffee Maker a
Whirlpool a Floor Drain a Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 0 Disposal 0 Bidet a Sculry Sink 0 Wash Ftn 0 RPZValve a
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 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink a Ice Maker a Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWeli a F Prep Sink a Gar Drain a Wtr Usage Mtrs a
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink a Soda Disp a
Misc. 0
Fixtures
Use/Nature r'ffi ,_. 'œ~ -
of Work
Size Material Type 1# Conn. Type
Sanitary Sewer 4" Plastic Lateral New
Storm Sewer 4" Plastic Lateral 1 New
0
a
0
0
Water Service 1-1/4" Plastic Lateral 1 New
0
a
0 Parcelld 1#
0 1281700000
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $150.00 D Permit Voided I
Issued By Date 12/28/2005
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 1800 FOUNTAIN AVE
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number 376-1005
To schedule inspections please cali the Inspection Request line at 236-5128 noting the Address, Penmit 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 perfonmed within two business days from the time the project is ready.