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.
OSHKOSH
ON THE WATER
Job Address 908 WISCONSIN ST
Contractor MOREMAN PLBG & HTG SERVICE INC
PLUMBING PERMIT - APPLICATION AND RECORD
CITY OF OSHKOSH No 123763
Owner KARGUS PROPERTIES LLC Create Date 03/12/2007
Plan
Category 401 - Residential-Exterior (laterals)
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst 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 Rec
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
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
[Abandon sanitary sewer and water lateral.
I
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
0501450000
Use/Nature
of Work
Valuation
$0.00 Permit Fees
$25.00 D Permit Voided I
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 applicatio within an easement. the City strongly urges the permit applicant to contact the
easement holder( and to secure ny n ssary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 1325
OSHKOSH
WI 54903 - 0000 Telephone Number 231-9191
Date 03/12/2007
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.
,
City of Oshkosh
Inspection Services Division
'p 0 Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a pennit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this vrocessed through vour account n
JobAddress Cia??, (J)JSC'_ST
Owner G-P[Cr-)( Vi (17 U)
~ingle Family Dnuplex DMulti-Family
Value (Including labor and materials) ( 0 0 cc! Date O~'-I Y -() 7
UJ~Wf ~c ~M1 JE~ ::rn0YrtC&mfJ!
~ental DCommercial DlndustGfI 01_ .
Contractor
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
o Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lridry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
DrinkFtn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm. Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rel:
RP.Z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Use / Nature of Work
CV+P
OR DElectric Installation Verification form attached
(If Replacement)
Electric Contractor
~eWE!Z- ~ WAJEZ
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05
WARD:
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WORK DONE:
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REMARKS:
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DATE: ~-I';l-07
DHL#:
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SIZE:
CONTRACTOR:
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MEASUREMENTS:
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PE~T#:
,/ B~ACKDIRT: YES NO
CONCRETE: YES NO
DETAILS: -
WORKEI{S: :OI ~
CITY HALL
215 Church Avenue
P.O. Box 1130
Oshkosh. Wisconsin
54903-1130
i Wrt. ~ L~~'2~2>
City of Oshkosh
~
OJHKOJH
DATE AOO,ESS WORKERS
9/17/2007 908 Wiscotin Street jk, kn, jp
TYPE SI2 IE MEASUREMENTS
Lead 3/t. " Scott 122' N of N - Wisconsin 6' W of E
Copper
Iron
CITY OF OSHK I SH WATER DISTRIBUTION CENTER
DISCONTINUIED SERVICE FROM WATER MAIN
REMARKS: No parts I
Dug and cut 3/4" lead servic;:e o~ main.
Permit #20075155 - concrete streetl
/7 A U~
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Jack Reichenberger - superinten1dent
Water Distribution Center
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