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OSHKOSH
ON THE WATER
Job Address 257W18THAVE
CITY OF OSHKOSH
No
117812
PLUMBING PERMIT - APPLICATION AND RECORD
OWner JASON AIKRISTIE MUGERAUER
Create Date 01/09/2006
Category 410 - Residential-Interior
Plan
Contractor WATTERS PLUMBING
Bathtub 1 Shower ~ Water softner 0 Wai\.s\. ~ Shamp Sink ~ Coffee Maker ~
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest ~ FlrlWstsink ~. Int Grease Trap 0
Lavatory 1 Lndry Tray ~ Clothes Wshr 0 Exam Sink ~ Catch Basin ~ Ext Grease Trap 0
Toilet 1 Disposal 0 Bidet ~ sculry Sink ~ Wash Ftn 0 RPZValve ~
Res. Sink 0 Dishwasher ~ BeerTap 0 Hand Sink 0 Urinal ~ Eye Wash statn 0
Bar Sink ~ Sump Pump ~ Lab Sink ~ Plaster Sink ~ standp Rec ~ Wtr Sewer Mtrs .--!!
Water Heater 0 Classrm Sink 0 Sterilizer .--!! Surgeons sink .--!! Ice Maker .--!! Deduct Meters 0
Site Drain 0 Breakrm Sink ~ DipWell .--!! F Prep Sink .--!! Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain ~ Ejector/Grind ~ Drink Ftn 0 serv Sink .--!! Soda Disp 0
Misc. 0
Fixtures
Use/Nature
ofWork
r'~ ",,'WOM ~"'~
Size
Material
Type
#
Conn. Type I
Storm Sewer
0
0
0
0
0
0
0
0
0
0
Sanitary Sewer
Valuation
$0.00
Permit Fees
0
0
0
0
0
$21.00 0 Permit Voided I
Parcelld #
1405200000
Water Service
$1,600.00
Plan Approval
Issued By
Date~
In the performance of this work, I agree to perform ali 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 thework
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 PO BOX 118
Agent/Owner
MENAsHA
WI 54952 - 0118
Telephone Number 920-733-8125
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.