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OSHKOSH
ON THE WATER
Job Address 1306 BOWEN ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RICHARD L TROIBER
Contractor SAMMONS PLUMBING
Category 411-Residential-WaterHeaters
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Disposal 0
Res. Sink 0 Dishwasher 0
Bar Sink 0 Sump Pump 0
Water Heater 1 Classrm Sink 0
Site Drain 0 Breakrm Sink 0
Roof Drain 0 Ejector/Grind 0
Misc. 0
Fixtures
Water Softner 0 Wait.St. 0
Local Waste 0 Ice Chest 0
Clothes Wshr 0 Exam Sink 0
Bidet 0 Sculry Sink 0
Beer Tap 0 Hand Sink 0
Lab Sink 0 Plaster Sink 0
Sterilizer 0 Surgeons Sink 0
Dip Well 0 F Prep Sink 0
Drink Ftn 0 Serv Sink 0
Shamp Sink ~
FlrfWstSink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker 0
Gar Drain 0
Soda Disp 0
No
117779
Create Date 01/05/2006
Plan
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn ~
Wtr Sewer Mtrs ~
Deduct Meters 0
Wtr Usage Mtrs ~
Use/Nature
of Work
I"'="'W< -"'IT =,
Size
Type
Material
Sanitary Sewer
Storm Sewer
Water Service
#
0
0
0
0
0
Conn. Type
Valuation
$600.00
$0.00
Parcelld #
1509680000
Plan Approval
Permit Fees
Issued By
$20.00 D Permit Voided I
Date 01/05/2006
In the performance of this work. I agree to perform all work pursuant to rules 90veming 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
Address 522 W. MURDOCK AVE
AgenUOwner
OSHKOSH
WI 54901 - 2298
Telephone Number
Date
231-9880
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.