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~ CITY OF OSHKOSH No 118845
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 380 FOSTER ST Create Date 0312912006
Plan
Bathtub 1 Shower 1 Water Softner 0 Wait.SI. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 1 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 2 Lndry Tray 0 Clothes Wshr 1 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 2 Disposal 1 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve 0
Res. Sink 1 Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 1 Lab Sink 0 Plaster Sink 0 Standp Rec 2 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink ----2 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink ----2 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs
Roof Drain 0 EjectorlGrind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 2 HOSE BIBB
Fixtures
Owner KEN ROBL
Contractor J RASMUSSEN PLUMBING INC
Category 410 - Residential-Interior
UselNature
of Work
Valuation
Issued By
NSFRI Bi-Ievel home with a two car allached garage and a 12'x12' deck off the rear patio door.Gas water heater. "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 0608701800
$8,000.00
$0.00
$20.00 D Permit Voided I
Permit Fees
Plan Approval
Date 0410612006
In the pertormance of this work, I agree to pertorm 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 pertorm 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
Address
Date
1914 GREENBRIAR TRL
Agent/Owner
OSHKOSH
Telephone Number 920-233-6747
WI 54904 - 0000
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.