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OSHKOSH
ON THE WATER
Job Address 13 E CUSTER AVE
CITY OF OSHKOSH No 122892
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DEBORA M RESOP Create Date 12/14/2006
Plan
Contractor COATS, KEITH
Category 430 - Industrial-Exterior (laterals)
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature 6.bandon sanitary sewer and water laterals to raze structure.
of Work
Shamp Sink
FlrlWstSink
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
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type
#
Conn. Type
$350.00 Plan Approval
Parcelld #
1504990000
$0.00 Permit Fees___~__~25.00 0 Permit Voided I
Date 12/14/2006
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 the
easement holder(s) d to se re any ~ssary ~~ before starting such activity.
Signature ~
Agent/Owner
Address 8424 SHIRLEY CT
WINNECONNE
WI 54986 - 9533 Telephone Number 920-582-3975
Date
/;/~ /-f/ --c:: h
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.
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City of Oshkosh Engineering Dept. Street
Location of Sanitary - Storm - Water Laterals 13 E Custer Ave
Obandonment D New Installation
12/14/06 KEITH COATS
IYQg Material Size Depth Location
Sanitary CLAY 6" 4.5' 37' S OF N, 8' E OF W
Storm
Water LEAD 3/4" 4.5' 37'S OF N, 8' E OF W
Property File Copy