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OSHKOSH
ON THE WATER
Job Address 100 WYLDEWOOD DR
CITY OF OSHKOSH
No 121842
PLUMBING PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS
Create Date 08/22/2006
Contractor WATTERS PLUMBING
Category 410 - Residential-I nterior
Plan
Bathtub 16 Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain 17 Local Waste Ice Chest FlrlWst Sink
Lavatory 16 Lndry Tray Clothes Wshr 16 Exam Sink Catch Basin
Toilet 16 Disposal 16 Bidet Sculry Sink Wash Ftn
Res. Sink 16 Dishwasher 16 Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater 16 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. 4 Hose bibs
Fixtures
Use/Nature COMM/16 unit multifamily structure, unsprinklered.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
16 Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
Issued By
$51,116.00 Plan Approval
0/7//G
$0.00 Permit Fees _~~155.00 D Permit Voided I
Valuation
Date 10/0212006
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
Address PO BOX 118
Agent/Owner
MENASHA
WI 54952 - 0118 Telephone Number 920-733-8125
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.
C ~IV~
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
l. Phone: (920) 236-5050
Fax: (920) 236..5084
Phllmbmng Permit Application
1 hereby apply tor a permit to do and install the {<lllowing plumbing on the premises hereinaller described, the work to confbrm to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agl'~~e to and arc bound by said statutes.
· Applkation(s) and fee(s) can be brought io (:/ty IVall, Room 205 or mailed k) Inspection Services,PO Box: 1128,
Oshkosh VI/I 54903-112fL Commencing work without: pennit(s) will result in fees being doubled or $1 OOJ)O plus the
normal permit fee, which ever is greater.
OR
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,. Nmnber <<pf!p'i\xtljnlr~~S~
Bllthtnb
Wlllrlpool
I.avatory
Toilet
Res. Sink
Bar Sink
Di Sr)o","
Dishwasher
Ii"
DrinkFITI
Wail. SI
ke Chest
Exam Sink
Selllry Sink
nand Sink
F Prep Sink
Serv Sink
Cateh Basi n
'Wash FI.n
Udnal
Sump Pum]1
Ejector/Grind
WaleI' SoOner
G~u' Drain
Water Healer
r:.I OilS WElecl r I f'wrVnl
Shower
Flonr Drain
LndlY Tray
Lah Sink
Plaster Sink
Slerili?:er
Mi~e.
l.oenJ lVastc
ClolhesW shr
Bide!
Soda Disp
Coffee Maker
Coml11. Ice Maker
Beer Tap
Classrm Clinl,
lnt Grea~e Trap
Exl nrcase Trap
Site Drain
RoofDl'llin
,'Handp Rec
Eye Wash Sin
WIT Sewer MITS
Deduct Meiers
WIT Usage Ml:rs
Surgeons Sink
Breakrm Sink
l-CP./':. Valve
Dip Well
Clha11lp Sink
Flr/W'll Sink
Hose Bibs
l'i)(1:11res
.EBed:Jrnc (;<<MlJlt.rr21C~:IG1]r
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[]E!4':c~lrfi.e h~:,tana.dolll1. V <eldfii!.~atfioil1l form AA~:e!l1lcJl1led
(1I Replacemclit)
U$~ I Natnu<e of
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Sanitary Sewer
Si7.C
Material
'T'ype
1/
C"I1I1. Type
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IO~ 'Y
lol? VLJ ~ ~
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Storm Sewer
Water Service
11/0:,