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OSHKOSH
ONTHEWATER--
Job Address 2165 WALNUT ST
CITY OF OSHKOSH
PLUNlBINGPERI'iIIIT~APPLICATION AND RECORD
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No
118077
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Create Date 02102/200-6
Plán
Owner SHARON SAWICKI
Cãtegory 411 -R~s¡delÌt;al-Wá~~r Hëàfer~
Bathtub-
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
. 0
0
0
0
0
0
1
0
0
0
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
-Sump Pump
Classrm Sink
Breakrm Sin~-
EjëétorlGrind
:~air~i._-
Ice Chest
Exam Sink
---- ~_:- :ohamp'Sink ~
0 Flr~st_Sin_,,~
0 Catch Basin 0
0 WashFtn ~
0 Urinal ~
0 Standp Rec ~
0 Ice Maker 0
0 GarDrain 0
0 Soda Disp 0
Coffee Maker ~
lent <3re~_s~ _Trap 0
Ext Grease Trap 0
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Wa!!rSJJi'tèr_.~ .
Local Waste 0
Clothes Wshr 0
Bidet 0
Beer Tap 0
Lab Sink 0
Sterilizer 0
Dip Well 0
Drink Ftn 0
0
0
0
0
0
0
0
~
0
Sculry Sink
Hand Sink
Plaster Sink
Súrgeons Sink
F Prep Sink
Serv Sink
r,,~~w'm~
-"DEBlTÆCCT
Size
Material
Type
#
0
0
0
0
0
0
0
0
0
0
Conn. Type
Sanitary Sewer
Parcelld #
1218160000
Valuation
Issued By
Storm Sewer
Water Service
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 itis nota 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
AgenUOwner
Address 522 W. MURDOCK AVE OSHKOSH '!'!'!.... 54901 - 2298 Telephone Number 231-9880
To schedule inspections please call the l"spìÚ:iion Requesrríñ,ïâi'23"¡¡:SUir¡'õ!"ong ilie Address, Permit Number, type of
Inspeétion (í.e." Footing, Service, Final, etc.), Access into Buílding 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 ìnspection is not performed within tWo business days from the time the project is ready.