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OSHKOSH
ON THE WATER
Job Address 420 MAIN ST
CITY OF OSHKOSH
No
123369
PLUMBING PERMIT - APPLICATION AND RECORD
Owner D & M RENTALS LLC Create Date 01/31/2007
Category 440 - Industrial-Interior Plan
Wait. St. Shamp Sink Coffee Maker
Ice Chest Flr/Wst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
Contractor DR HANSEN PLBG.
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
2 Shower Water Softner
Floor Drain Local Waste
2 Lndry Tray Clothes Wshr
2 Disposal 2 Bidet
- -
2 Dishwasher 2 Beer Tap
Sump Pump Lab Sink
Classrm Sink Sterilizer
Breakrm Sink Dip Well
Ejector/Grind Drink Ftn
Remodle second floor for 2 apartments.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0400820000
$0.00 Permit Fees
$112.00 D Permit Voided I
Plan Approval
Date 01/31/2007
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
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number 233-1595
Address 55 KNAPP ST
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.