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OSHKOSH
ON THE WATER
Job Address 1112 POWERS ST
CITY OF OSHKOSH
No
118314
PLUMBING PERMIT - APPLICATION AND RECORD
OWner TODD M/STACY L BERGER
Create Date 02128/2006
Contractor M P KELLY
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 0 Water Softner 0 Wail.SI. 0 Shamp Sink 0
Whirlpool 0 Floor Drain -------.I! Local Waste 0 Ice Chest 0 Flr/Wst Sink 0
Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0
Toilet 1 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0
Res. Sink 0 Dishwasher -------.I! Beer Tap 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 -------.I! DipWell 0 F Prep Sink 0 Gar Drain 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Coffee Maker 0
Int Grease Trap -------.I!
Ext Grease Trap -------.I!
RPZValve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature
of Work
REPLACE LAV AND WATER CLOSET "CHECK #7587
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0 Parcelld #
0 1108860000
Valuation
$947.00
Plan Approval
$0.00
Permit Fees
$20.00 D Permit Voided I
Issued By
Date 02/28/2006
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 hoider(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 4431
Telephone Number 231-1750
To schedule inspections please cali 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.