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0
OSHKOSH
ON THE WATER
Job Address 420 JACKSON ST
CITY OF OSHKOSH
No
117821
PLUMBING PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY CITY OF OSHKOSH
Create Date 11/01/2004
Contractor S&S MECHANICAL
Category 440 - Industrial-Interior
Plan
Bathtub 0 Shower 0 WaterSoftner 0 WaitSt 0 Shamp Sink 0
Whirlpool 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 0 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 DipWell 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn ~ Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
Coffee Maker 0
Int Grease Trap ~
Ext Grease Trap ~
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs ~
Deduct Meters 0
Wtr Usage Mtrs
GOV / Construction of new boiler room in a portion of the existing garage area as per plans and revisions dated 10/28/04. Copies of all
Ire-stopping systems for penetrations and joints are required to be submitted prior to Inspection.
Size
Material
Type
#
0
0
0
0
0
0
0
0
0
0
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$106.000.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$0.00 D Permit Voided I
Parcelld #
0701340000
Issued By
Date 01/09/2006
In the performance of this work. I agree to perform all work pursuant to rules goveming 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 appiicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
AgenUOwner
OSHKOSH
WI 54901 - 0000
Telephone Number
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.