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OSHKOSH
ON THE WATER
Job Address 3630 STEARNS DR
Contractor ZILLGES EXCAVATING
CITY OF OSHKOSH No 122835
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DANIEL E DOWLING Create Date 12/11/2006
Plan
Category 430 - Industrial-Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner Wait. St. Shamp Sink
Local Waste Ice Chest FlrlWst Sink
Clothes Wshr Exam Sink Catch Basin
Bidet Sculry Sink Wash Ftn
Beer Tap Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
-
Sterilizer Surgeons Sink Ice Maker
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Install new 4" sanitary sewer to serve warehouse. **debit acct
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer
Water Service
Parcelld #
1278800000
Valuation
$1,000.00
Plan Approval
Issued By
$0.00
$50.00 0 Permit Voided I
Date 12/11/2006
Permit Fees
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
OSHKOSH
WI 54904 - 0000 Telephone Number 376-1005
Address 1800 FOUNTAIN AVE
Date
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 of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
0: Phone: (920) 236-5050
'., ' Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinf! in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed through your account I)i]
3ro30
Job Address ~ ~fAJS
Owner D<A..t.J lJow//~
DSingle Family DDuplex
or.
,. ~
Value (Including labor and materials) /000
Date 12./III~
,
Contractor Z,'/It:p..'5 It.. 4k,/fIlt,(~.
DMulti-Family DRental [Z]Commercial
DIndustrial
Number of Fixtures:
f'\ Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
DrinkFtn Catch Basin
Wait.St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrfWst Sink Deduct Meters
Wtr Usage Mtrs
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
OR . DElectric Installation Verification form attached
(If Replacement)
Electric Contractor
Use I Nature of Work S4~:\-~r\f 56,C."c.l'" 14krC4t
Size
4"
Material
sd~, 10.
Type
PV~
#
Conn. Type
/ I
wpe I ~ ~41,.)
I
Water Service
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