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OSHKOSH
ON THE WATER
Job Address 1040 JOHN MOORE DR
CITY OF OSHKOSH
No
120870
PLUMBING PERMIT - APPLICATION AND RECORD
2 Shower 1
-
Floor Drain 1
3 Lndry Tray
-
3 Disposal 1
- -
1 Dishwasher 1
-
Sump Pump 1
Classrm Sink
Breakrm Sink
EjectorlGrind
2 OUTSIDE SILCOCKS
Owner RUSCH HOMES LLC Create Date 0711812006
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Bidet Sculry Sink Wash Ftn RPZ Valve
Beer Tap Hand Sink Urinal Eye Wash Statn
Lab Sink Plaster Sink Standp Rec 2 Wtr Sewer Mtrs
Sterilizer Surgeons Sink Ice Maker Deduct Meters
Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Drink Ftn Serv Sink Soda Disp
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature NSFRlINTERIOR PLUMBING, GAS WATER HEATER. **DEBIT ACCT
of Work
Valuation
Issued By
Size
#
Conn. Type
Material
Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1342951700
$7,900.00
$0.00
$140.00 0 Permit Voided I
Plan Approval
Permit Fees
Date 08/0112006
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
OSHKOSH
WI 54903 - 3904 Telephone Number 920-410-5933
Address PO BOX 3904
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.