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~ CITY OF OSHKOSH No 119275
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1017 W NEW YORK AVE Owner NANCY J PUGH Create Date 03/23/2006
Contractor SOPER PLUMBING Category 410 - Residential-Interior Plan
Bathtub 0 Shower ~ WaterSoftner 0 WaitSt 0 Shamp Sink ~ Coffee Maker 0
Whirlpool ~ Floor Drain ~ Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory ~ Lndry Tray ~ Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ex! Grease Trap 0
Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink -..-----! Dishwasher 1 Beer Tap 0 Hand Sink 0 Urinal ~ Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink ~ Plaster Sink 0 Standp Rec ~ Wtr Sewer Mtrs 0
Water Heater 0 Classrm Sink ~ Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind ~ Drink Ftn ~ Serv Sink 0 Soda Disp ~
Misc. 0
Fixtures
Use/Nature
of Work
SFRI Remodeling the kitchen. "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 0502690000
Valuation
$750.00
Plan Approval
$0.00
Permit Fees
$20.00 0 Permit Voided I
Issued By
Date 05/03/2006
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 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 2225 BURNWOOD DR
Agent/Owner
OSHKOSH
WI 54902 - 0000
Telephone Number 426-2151
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.