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OSHKOSH
ON THE WATER
Job Address 1116 HAWK ST
CITY OF OSHKOSH No 120303
PLUMBING PERMIT - APPLICATION AND RECORD
Owner GLENN R HOUGE Create Date 06/13/2006
Plan
Contractor KOCH PLUMBING
Category 410 - Residential-Interior
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature SFR\ Remodelling kitchen-removing bearing wall-supporting load with code compliant header(Oshkosh Lumber) **DEBIT ACCT
of Work
Valuation
Issued By
Shower Water Softner
0 Floor Drain Local Waste
Lndry Tray Clothes Wshr
Disposal 1 Bidet
Dishwasher 1 Beer Tap
Sump Pump Lab Sink
Classrm Sink Sterilizer
Breakrm Sink Dip Well
Ejector/Grind Drink Ftn
Size
Sanitary Sewer
Storm Sewer
Water Service
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Material
$500.00 Plan Approval
$0.00 Permit Fees
$21.00 0 Permit Voided I
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Type
#
Conn. Type
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcelld #
1602210000
Date 06/29/2006
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.
Signature Date
Agent/Owner
Address 2005 DOTY ST 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.