HomeMy WebLinkAbout0119295 P
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OSHKOSH
ON THE WATER
Job Address 138W21STAVE
CITY OF OSHKOSH
PLUMBING PERMIT. APPLICATION AND RECORD
No
OWner GARY A BROWN
119295
Create Date
Contractor SAMMONS PLUMBING
Category 410 - Residential-Interior
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner 1 Wail.SI.
Loeal Waste Ice Chest
Clothes Wshr Exam Sink
Bidet Sculry Sink
Beer Tap Hand Sink
Lab Sink Plaster Sink
Sterilizer Surgeons Sink
Dip Well F Prep Sink
Drink Ftn Serv Sink
Plan
Shamp Sink -
FlrlWst Sink
Catch Basin -
Wash Ftn
Urinal
Standp Rec
Ice Maker
Coffee Maker
Int Grease Trap
Ext Grease Trap -
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Sanitary Sewer
Storm Sewer
Water Service
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Size
Gar Drain
Soda Disp
Wtr Usage Mtrs
Material
Type
#
Conn. Type
Parcelld #
1400620000
$700.00
Plan Approval
$20.00 0 Permit Voided I
Issued By
$0.00
Permit Fees
Date 05/03/2006
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
Address 522W.MURDOCKAVE
AgenUOwner
OSHKOSH
Wi 54901 - 2298
Telephone Number 231-9880
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.