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OSHKOSH
ON THE WATER
Job Address 3180 ELK RIDGE DR
CITY OF OSHKOSH No 120257
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS INC Create Date 06/27/2006
Plan
Contractor RADTKE CONTRACTORS INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Category 430 - Industrial-Exterior (laterals)
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
.... SANITARY AND 2" WATER LATERAL PER APPROVED SITE PLAN ""DEBIT ACCT
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service 2", Plastic Lateral 1 New
Parcelld #
Valuation
Issued By
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest FlrlWst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
$2,000.00 Plan Approval
$0.00 Permit Fees
$100.00 D Permit Voided I
Date 06/27/2006
In the performance of this work, I agree to perform all work pursuant to rules goveming 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) d to secu a sary approvals before starting such activity.
1
Signature
Agent/Owner
WINNECONNE
WI 54986 - 9731 Telephone Number (920) 582-4114
Address 6408 CROSS RD
Date
(;- 27-t/(p
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.