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OSHKOSH
ON THE WATER
Job Address 628 SCHOOL AVE
CITY OF OSHKOSH
No
118636
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor THOMAS PLUMBING
Category 410 - Residential-Interior
Create Date 03/23/2006
Plan
Owner MRiMRS JOHN J PEDERSON
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 1 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 1 Dishwasher 1 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 Classnm 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 0 Serv Sink 0 Soda Clsp 0
Misc. 0
Fixtures
Use/Nature REPLACE LAV. KIT SINK AND DISHWASHER "CHECK #1080
of Work
Coffee Maker ~
Int Grease Trap ~
Ext Grease Trap ~
RPZ Valve 0
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
0
0
0
0
0
$900.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$21.00 0 Permit Voided I
Parcelld #
0201630000
Water Service
Valuation
Issued By
Date 03/23/2006
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 nota pany. 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
Address 849 VINE ST
Agent/Owner
Oshkosh
WI 54901 - 0000
Telephone Number 232-0094
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.