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OSHKOSH
ON THE WATER
Job Address 880 FREEDOM AVE
CITY OF OSHKOSH No 123856
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEREMY J/JODIE L DYKEN Create Date 03/20/2007
Contractor
HOMEOWNER
Category 410 - Residential-Interior
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
Lndry Tray
Di.sj)osal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd
I
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int GreaseTrap
Ext Grease Trap
RPZ Valve
".^.,v...,,___.......,.__
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Use/Nature SFRI LATE PERMIT/ Finishing a portion of the basement" to include a Rec room, office, closet and a full bathroom. Work was completed
of Work without inspections.
Valuation
Issued By
Storm Water
Size
#
Conn. Type
Material
Type
Parcelld #
1250176500
Plan Approval
$0.00 Permit Fees
$25.00 0 Permit Voided I
Date 03/20/2007
The undersigned, in applying for a plumbing permit to install plumbing in a single family home owned and occupied as the
principle residence of the undersigned, hereby acknowledges, per Wisconsin State Statutes, ss 145.06, that other individuals
will not be employed to assist with the work described by this permit. If an individual will be employed to install plumbing
the work involved must be covered by a permit issued to a properly licensed Master Plumber.
erform allfwork pursuant to rules governing the described construction.
Address 880 FREEDOM AVE
Date >< 3IcJo/O"7
OSHKOSH
WI 54901 0000 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
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.