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OSHKOSH
ON THE WATER
Job Address 802 W 5TH AVE
CITY OF OSHKOSH
No
123468
PLUMBING PERMIT - APPLICATION AND RECORD
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Replace cracked portions of drain stack, install laundry standpipe with AA V, Repipe kitchen sink drain with AA V, install new water heater TP
of Work relief valve, and reset water closet.
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner JEFFREY G SCHMIEDEL Create Date 02/09/2007
Category 410 - Residential-Interior Plan
Water Sottner Wait. St. Shamp Sink Coffee Maker
Local Waste Ice Chest FlrlWst Sink Int Grease Trap
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
Contractor WELLNITZ PLUMBING
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0604550000
$25.00 D Permit Voided I
$900.00
Plan Approval
$0.00
Permit Fees
Valuation
Issued By Date 02/09/2007
In the performance of this work, I agree to pertorm 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) secure an ssary approvals before starting such activity.
Signature Date c:2 q O,?
Agent/Owner
Address 4810 AMBERWOOD LN
APPLETON
WI 54915 - 0000 Telephone Number (0)231-7390
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.