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OSHKOSH
ON THE WATER
Job Address 3240 MOCKINGBIRD WAY
CITY OF OSHKOSH
No
119146
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Category 410 - Residential-Interior
2
0
3
3
1
0
1
0
0
2
Shower 1 Water Softner 0 Wail.SI. 0
Floor Drain 1 Local Waste 0 Ice Chest 0
Lndry Tray 0 Clothes Wshr 1 Exam Sink 0
Disposal 1 Bidet 0 Sculry Sink 0
Dishwasher 1 BeerTap 0 Hand Sink ------.2
Sump Pump 1 Lab Sink 0 Plaster Sink 0
Classrm Sink 0 Sterilizer 0 Surgeons Sink 0
Breakrm Sink 0 Dip Well 0 F Prep Sink 0
Ejector/Grind 0 Drink Ftn 0 Serv Sink 0
HOSE BIBB
Create Date 03/03/2006
Plan
Shamp Sink ------.2
FlrlWst Sink 0
Catch Basin ------.2
Wash Ftn 0
Urinal 0
Standp Rec -----..1
Ice Maker 0
Gar Drain 0
Soda Disp 0
Coffee Maker ------.2
Int Grease Trap ------.2
Ext Grease Trap ------.2
RPZ Valve ------.2
Eye Wash Statn 0
Wtr Sewer Mtrs 0
Deduct Meters 0
Wtr Usage Mtrs 0
Use/Nature NSFRI New single family, one story, 2 car attached garage with 14' x 14' concrete patio. The driveway shall not exceed 22' wide at the front
of Work property line. GAS WATER HEATER "DEBIT ACCT
Valuation
Issued By
Size
Material
Type
#
0
0
0
0
0
0
0
0
0
0
Conn. Type
$0.00
Permit Fees
Parcel Id #
1336040000
$6,050.00
Plan Approval
$140.00 0 Permit Voided I
Sanitary Sewer
Storm Sewer
Water Service
Date 04/26/2006
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 applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/OWner
OSHKOSH
Address PO BOX 3904
WI 54903 - 3904
Telephone Number 920-410-5933
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.