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~ CITY OF OSHKOSH No 119578
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2346 HICKORY LN OWner ROBERT D E NEUBECKER/MARY E HIL Create Date 04/17/2006
Contractor KOCH PLUMBING Category 410 - Residential-Interior Plan
Bathtub 1 Shower 1 Water Softner 0 Wait St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 1 Local Waste 1 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 2 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 2 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 1 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 WtrSewerMtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc. 0
Fixtures
Use/Nature
of Work
FR/ Converting the existing attached garage into a master bedroom and master bath. Replace kit sink. ""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 1518674900
Valuation
$2,500.00
Plan Approval
$0.00
Permit Fees
$70.00 0 Permit Voided I
Issued By
Date 05/1812006
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 penmit 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 2005 DOTY ST
Agent/Owner
OSHKOSH
WI 54902 - 0000
Telephone Number 920-231-6661 or 235
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.