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G CITY OF OSHKOSH
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 446 WYlDEWOOD DR #6
No
123619
Shower
Floor Drain
lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
EjectorlGrind
Owner NANCY C HOLTZ Create Date 02/06/2007
Category 410 - Residential-Interior Plan
Water Softner 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 LARRY HANSEN Pl6G
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
UselNature
of Work
Valuation
Issued By
ISFRICO"dO)1 F'"'" p""'""' "f the '"erne,' foe , f,ml', ,"om ,"d "th'nom. -,'"k #1507'
Conn. Type
Size
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1632002100
$4,960.00 Plan Approval
~ u..)
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 02/26/2007
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
GREENVlllE
WI 54942 - 8683 Telephone Number 920-757-6863
Address N-1044 TOWER VIEW DR
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.
58lS: ao
!
::?,'{ ,,)ty 2LQ,s",., ?<~p' '. '
, ;i~~~"l~spectiQn:~erYices Division
'",:P0}3ox:f13o'" '
"'6s~~~h:'Wf54903-1130
," Ph<;Iie:(920) 236-5050
" Fax:'(920)236-5084
~
OfHKCvH
ON THE WATER
Plumbing Permit Application
i,~~_';i':~jr~\1::</;';;\;:?':<::::,_.: ':;>,,: ",., _ I
i:'~pP;IY~f~rapermit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
' '. '.p,StlitePlumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
,."PI>l9:~J:!qIl(~)and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
"Qshkpsrr'W(54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
,. " "'''r 'e~ . fee, which ever is greater.
"'''.i', ", ", " ",' d~'
'If vou, area contractor participatinf! in the Permit Fee Account Sv...stem and have adequate funds. check here
j"""""""""''''''/''''{s'''rocessed throu h our account
Value (Including labor and materials) 4Q(o() \ at)
Contractor
Date~~ '-' .ws- 07
DMulti- Family
DRentaI
DCommercial
DIndustriaI
Lndry Standp Dent. OpeL I Shamp Sink
Disposal Dip Well Flr/Wst Sink
Dishwasher DrinkFtn Catch Basin
Sump Pump Wait.St. Wash Ftn
Ejector/Grind Ice Chest Urinal
Water Softner Exam Sink Gar Drain
Local Waste Sculry Sink Soda Disp
Clothes Wshr Hand Sink Coffee Maker
Bidet F Prep Sink Ice Maker
Beer Tap Serv Sink Site Drain
Classrm Sink Int Grease Trap Roof Drain
Surgeons Sink Ext Grease Trap Standp Rcc
Breakrrn Sink RP.Z: Valve Eye Wash Stn
OR DEIectric Installation Verification form attached
(If Replacement)
Material
Type
#
Conn. Type
7/03