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OSHKOSH
ON THE WATER
Job Address 3175 ATLAS AVE
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 121017
Owner KOOl llC Create Date 08/10/2006
Plan
Contractor BADGER EXCAVATING llC
Category 430 - Industrial-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain local Waste .Iee Chest Flr/Wst 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 Ree
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 -'Vater, sanitary and storm laterals for new warehouse.
of Work
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
# Conn. Type
New
Material
Plastic
Type
lateral
Sanitary Sewer
4"
Storm Sewer
12"
Plastic
lateral
2 New
Water Service
1-1/2"
Plastic
lateral
New
Valuation
$8,000.00
$0.00
$200.00 D Permit Voided I
Plan Approval
Permit Fees
Issued By
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 / =~..t1 ~---
Agent/Owner
Address POBOX 584
GREEN LAKE
WI 54941 - 0000 Telephone Number 920-294-6212
Parcel Id #
Date 08/10/2006
Date
g"-io--O(.,
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.