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OSHKOSH
ON THE WATER
Job Address 1140SKOELLERST
CITY OF OSHKOSH
No
119727
PLUMBING PERMIT - APPLICATION AND RECORD
Create Date 04/24/2006
Plan
Bathtub a Shower a Water Softner a Wail.SI. a Shamp Sink a Coffee Maker a
Whirlpool a Floor Drain 1 Local Waste a Ice Chest a Flr/Wst Sink a Int Grease Trap a
Lavatory 2 Lndry Tray a Clothes Wshr a Exam Sink a Catch Basin a Ex! Grease Trap ~
Toilet 2 Disposal a Bidet a Sculry Sink a Wash Ftn a RPZValve a
Res. Sink a Dishwasher 1 Beer Tap a Hand Sink 2 Urinal a Eye Wash Statn a
Bar Sink a Sump Pump a Lab Sink a Plaster Sink a Standp Rec a Wtr Sewer Mtrs 0
Water Heater a Classrm Sink a Sterilizer a Surgeons Sink a Ice Maker a Deduct Meters a
Site Drain 1 Breakrm Sink a Dip Well a F Prep Sink a Gar Drain a Wtr Usage Mtrs a
Roof Drain 4 Ejector/Grind a Drink Ftn a Serv Sink a Soda Disp 2
Misc. a
Fixtures
Use/Nature
of Work
OWner K F INVESTMENTS LLC
Contractor JIM'S PLUMB]NG & HEATING ]NC
Category 440 - Industrial-Interior
Comm / Addiition and drive-Through Window. and alterations as per plans Registered with State. - No Plan Review Conducted. Interior
rease interceptor replacement if needed will require plan review and a plumbing permit"'DEBIT ACCT
Size
Material
Type
#
a
a
a
a
a
a
a
a
a
a
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$10,500.00
Plan Approval
$0.00
Permit Fees
a
a
a
a
a
$105.00 0 Permit Voided I
Parcelld #
1308490600
Issued By
Date OS/26/2006
]n 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 W6166 GREENVILLE DR
Agent/OWner
GREENVILLE
WI 54942 - 0000
Telephone Number
920-757-5258
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.