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OSHKOSH
ON THE WATER
Job Address 3950 SUMMERVIEW DR
CITY OF OSHKOSH
No
118533
PLUMBING PERMIT. APPLICATION AND RECORD
Contractor JOHN D RANSOM
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
ofWork
Valuation
Issued By
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0
0
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1
0
0
0
Shower
Floor Drain
OWner DANIEL W CLAUSING
Create Date 03/15/2006
Category 411 - Residential-Water Heaters
Plan
0
0
0
0
0
0
0
0
0
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
0
0
0
0
0
0
0
0
0
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
0 Shamp Sink ~
0 FlrlWstSink ~
0 Catch Basin 0
0 Wash Ftn ~
0 Urinal ~
0 Standp Rec 0
0 Ice Maker 0
0 Gar Drain ~
0 Soda Disp ~
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
eplace gas water heater "use Kitz & Pfeil debit acct
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 1528060000
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Sterilizer
Dip Well
Drink Ftn
$410.00
Plan Approval
$0.00
Permit Fees
$20.00 D Permit Voided I
Date 03/15/2006
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 holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
FOND DU LAC
WI 54935 - 0000
Telephone Number 920-922-1987
Address W5056 PARADISE LN
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.