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OSHKOSH
ON THE WATER
Job Address 339 KIRKWOOD DR
CITY OF OSHKOSH No 120492
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MARY J GROTH Create Date 07/11/2006
Plan
Contractor FIELDS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
1 Floor Drain
1 Lndry Tray
2 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 silrock
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Category 410 - Residential-Interior
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
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
rFRI REMODEL AND REPIPE
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Parcelld #
0654040000
Valuation $10,375.00 Plan Approval
Issued By 3"VY1 w
$0.00 Permit Fees
$98.00 0 Permit Voided I
Date 07/12/2006
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 :; ~ ~
Agent/Owner
Address 1939 SOUTHLAND LN
NEW LONDON
Date 'Yu(V r a, cJ ~
I
WI 54961 - 0000 Telephone Number 920-982-5813
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.