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OSHKOSH
ON THE WATER
Job Address 3151 ELK RIDGE DR
Contractor 4 WAY CONSTRUCTION
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 120315
Owner MIDWEST GENERAL CONTRACTORS
Create Date 06/29/2006
Plan G2-194-0606-P
Category 430 -Industrial-Exterior (laterals)
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Install private sewer and water lateral for new 8 Unit Apartment / Condo
of Work
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
4"
2"
Material
Plastic
Plastic
Type
Lateral
#
Conn. Type
New
$4,500.00 Plan Approval
Parcelld #
$0.00 Permit Fees
Lateral
New
Date 06129/2006
$100.00 D Permit Voided I
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 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.
s;.-",~d-7' r.~ ~
AgentlO er
Address P.O. BOX 133 BERLIN WI 54923 - 0133 Telephone Number 920-361-1403
Date
b;;::;L 7 -<J C"
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.