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OSHKOSH
ON THE WATER
Job Address 545-551 HIGH AVE
CITY OF OSHKOSH
No
119447
PLUMBING PERMIT - APPLICATION AND RECORD
OWner HIWISCA LLC
Create Date 05/10/2006
Contractor 4 WAY CONSTRUCTION
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Category 430 -Industrial-Exterior (laterals)
Plan
Water Softner Wait St. Shamp Sink - Coffee Maker
Local Waste Ice Chest FlrlWstSink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin 2 Ext Grease Trap -
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Wetl F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature Install storm sewer and catchbasins for parking lot drains.(CK# 32885)
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
#
Conn. Type
Material
Type
12"
10"
Concrete
Plastic
New
New
Lateral
Lateral
Parcelld #
0103330000
$18,000.00
Plan Approval
Permit Fees
$0.00
$114.00 0 Permit Voided I
Date 05/10/2006
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) ~nd ~ secur~ n sa approvals before starting such activi.ty.
Signature ,~ "" :2.;;z ð f3
Agent/Owner
Address P.O. BOX 133
Date
40/06
/ /
BERLIN
Telephone Number
920-361-1403
WI 54923 - 0133
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.