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OSHKOSH
ON THE WATER
Job Address 751 VINE AVE
CITY OF OSHKOSH No 120537
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CONRAD N COSTEllO ETAl Create Date 07/14/2006
Plan
Contractor J RASMUSSEN PLUMBING INC
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Replace toilet**DEBIT ACCT
of Work
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
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
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
Parcel Id #
0503460000
$200.00 Plan Approval
(fiV
$0.00
Permit Fees
$25.00 D Permit Voided I
Date 07/14/2006
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 fhe
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 1914 GREENBRIAR TRl
Agent/Owner
OSHKOSH
Date
WI 54904 - 0000 Telephone Number 920-233-6747
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.