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OSHKOSH
ON THE WATER
Job Address 240 OHIO ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BROS LLC
Contractor WATTERS PLUMBING
Category 430 -Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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 Install sewer and water laterals
of Work
No 120765
Create Date 07/24/2006
Plan G2-205-0706-P
Coffee Maker
lnt Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Con':!. Type
New
Material
Plastic
Type
Lateral
#
Sanitary Sewer
4"
Storm Sewer
Water Service 1" Copper Lateral New
Parcelld #
9060021600
Valuation $1,200.00 Plan Approval ___ $0.00 Permit Fees $100.00 D Permit Voided I
Issued By 8-Yr-, Lu 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 PO BOX 118
MENASHA
WI 54952 - 0118 Telephone Number 920-733-8125
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.