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G CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT-APPLICATION AND RECORD
ON THE WATER
Job Address 3140 HALLIE HOLLOW CT
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
No
122989
HOMEOWNER
Owner STEVEN UAMY M SPRISTER Create Date 07/07/2006
Category 410 - Residential-Interior Plan
Water Softner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int GreaseTrap
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 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
Shower
Floor Drain
1 Lndry Tray
1 Disposal
Dishwasher
1 Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
I
Use/Nature ~FRI Remodeling the basement to create a bedroom, rec room, bar/game room, and bathroom. *The ceiling height will be a minimum of 7'.
of Work
Valuation
Issued By
Size
#
Conn. Type
Material
Type
Storm Water
Parcelld #
1343720000
$1,500.00 Plan Approval
$28.00 0 Permit Voided I
$0.00 Permit Fees
Date 12/21/2006
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of t rsigned, herebyac wledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employe to assist ith the work d cri d by this permit. If an individual will be employed to install plumbing
the work involved ust b ered by a r It i ued to a p'roperly licensed Master Plumber.
uant to rules governing the described construction.
Signature
/d --0/-V~
Date P
Agent/Owner
OSHKOSH
Address 3140 HALLIE HOLLOW CT
WI 54904 8085 Telephone Number
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.
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.