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OSHKOSH
ON THE WATER
Job Address 2496 SECURITY DR
CITY OF OSHKOSH No 122965
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PHilLIP A1L1NDA S CHARLEY Create Date 12/20/2006
Plan
Contractor SAMMONS PLUMBING
Category 410 - Residential-Interior
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 SFR /INSTAll GARBAGE DISPOSAL **debtacct
of Work
Coffee Maker
lnt Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation $300.00 Plan Approval ___~~QQ
ISSUedBy~kJ
$25.00 0 Permit Voided I
Parcel Id #
1622680000
Permit Fees
Date 12/20/2006
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
Address 522 W. MURDOCK AVE
AgenUOwner
OSHKOSH
WI 54901 - 2298 Telephone Number 231-9880
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.