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0 CITY OF OSHKOSH No 118930
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2415 WESTOWNE AVE OWner OSHKOSH GROCERS LLC Create Date 0410512006
Contractor RJ KAMPO PLBG Category 440 - Industrial-Interior Plan
Bathtub 0 Shower 0 Water Softner 0 Wait.St. 0 Shamp Sink -----2 Coffee Maker 0
Whirlpool 0 Floor Drain 4 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin -----2 Ext Grease Trap 0
Toilet 1 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal -----2 Eye Wash Statn 0
Bar Sink 1 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec -----2 Wtr Sewer Mtrs 0
Water Heater 2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 2 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain -----2 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 1 Soda Disp -----2
Misc. 1 HOSE BiBB
Fixtures
UselNature
of Work
~~,dition to Festival Foods liquor dept. and new restroom for future coffee kiosk. 2-112 gallon electric water heater and 30 gallon electric water
r~ "'"".~.~~" W~ 'W'"
Size Material Type # Conn. Type
0
0
0
0
0
0
0
0
0
0
Sanitary Sewer
Storm Sewer
$13,000.00
Plan Approval
$0.00
Permit Fees
0
0
0
0
0
$91.00 0 Permit Voided I
Parcelld #
1621650200
Water Service
Valuation
Issued By
Date 0411212006
in the performance of this work, I agree to perform all work pursuant to rules goveming 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 appiicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address
1000 S WESTLAND DR
AgenUOWner
APPLETON
WI 54914 - 8862
Telephone Number
730-9600
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.