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OSHKOSH
ON THE WATER
Job Address 1185 HEIDI HAVEN DR
CITY OF OSHKOSH
No
119570
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES LLC
Create Date 05/17/2006
Bathtub
Contractor J & P EXCAVATING
Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Disposal
Res. Sink Dishwasher
Bar Sink Sump Pump
Water Heater Classrm Sink
Site Drain Breakrm Sink
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Ejector/Grind
Category 401 - Residential-Exterior (laterals)
Plan
Water Softner Wai!.S!. Shamp Sink Coffee Maker
~
Local Waste Ice Chest FlrlWstSink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin 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 Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
ATER. SANITARY AND STORM LATERALS FOR NSFR. "DEBIT ACCT
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer 4" Plastic Lateral 1 New
Water Service 1-1/4" Plastic Lateral 1 New
Parcelld #
1342953300
$0.00
$150.00 D Permit Voided I
$1,050.00
Plan Approval
Permit Fees
Date 05/17/2006
In the perfonnance of this work, I agree to perfonn all work pursuant to rules govemlng the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it Is not a party, if you perfonn the work
described in this permit application within an easement, the City strongly urges the pennlt applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 3162 SCENIC DR
379-0309 (C)
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number
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.