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OSHKOSH
ON THE WATER
Job Address 303 OXFORD AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No
120775
Owner CITY OF OSHKOSH REDEVELOPMENT AUTHC Create Date 06/23/2006
Plan
Contractor CITY OF OSHKOSH
Category 401 - Residential-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature bandon water and sewer laterals.
of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$500.00 Plan Approval
$0.00 Permit Fees
$0.00 D Permit Voided!
Issued By
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Parcelld #
0403150000
Date 07/27/2006
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 215 CHURCH AVE
OSHKOSH
WI 54901 - 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
CITY HALL
215 Church Avenue
P.O. Box 1130
Oshkosh, Wisconsin
54903-1130
City of Oshkosh
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OJHKOfH
CITY OF OSHKOSH WATER DISTRIBUTION CENTER
DISCONTINUED SERVICE FROM WATER MAIN
DATE ADDRESS WORKERS
7/7/06 303 Oxford Ave. jk, kn, jp
TYPE SIZE MEASUREMENTS
Lead Grand 297' W of W
3/411 Oxford 6' N of S
Copper
Iron
REMARKS: Dug & cut 3/411 lead service off main. No parts
Permit #20065170 - asphalt street
~. ~~~~ndent
Water Distribution Center
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