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OSHKOSH
ON THE WATER
Job Address 2405 SHORE PRESERVE DR
Contractor HANNA EXCAVATING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
ofWork
Valuation
Issued By
CITY OF OSHKOSH
No
119634
PLUMBING PERMIT. APPLICATION AND RECORD
Owner ALAN JITERESA M GERRITS
Create Date OS/22/2006
Category 401 - Residential-Exterior (laterals)
Plan
Shower Water Softner WaitSt Shamp Sink - Coffee Maker
Floor Drain Local Waste Ice Chest Flr/WstSink Int Grease Trap
Lndry Tray Clothes Wshr Exam Sink Catch Basin - Ex! Grease Trap -
Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Ejector/Grind Drink Ftn Serv Sink Soda Disp
NSFR WATER, SANITARY AND STORM LATERALS"'CHECK #16014
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 #
1281480000
$2,500.00
$0.00
$150.00 0 PennltVolded I
Plan Approval
Permit Fees
Date OS/22/2006
In the perfonnanee 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 enforee easement restrictions of which it Is not a party. if you perform the work
described in this pennit application within an easement, the City strongly urges the pennit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 2781 VILLAGE LN
Date
Agent/Owner
OSHKOSH
WI 54904 - 0000
Telephone Number 235-6450
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.