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OSHKOSH
ON THE WATER
Job Address 1130 GREENFIELD TRL
Contractor O'NEILL ENTERPRISES INC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ::;FRI Finishing a full bathroom in the lower portion of the house.
of Work
CITY OF OSHKOSH
No
124461
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner CLARENCE P DUMKE Create Date 04/26/2007
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
I.
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1314230000
Plan Approval
$0.00
$25.00 0 Permit Voided I
Valuation $2,60rn
Issued By ~
Permit Fees
Date 04/27/2007
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
Address 522 W 6TH AVE
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
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.
"'04/26/2007 13:19 FAX 19202302008
Y .
y.
:::
. . City of Oshko~h
Inspection SeJVices Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
O~~ILL ENTERPRISES
141001/001
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the perfonnance 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 pennit(s) will result in fees being doubled or $100.00 plus the
nannal permit fee, which ever is greater.
OR
ou re a ontr or artici tin in th Per 't Fee Account S stem nd ave"a e u te unds check here
i ou want this rocessed throu h our account
::~dros'rlt~1~ili/J1~~:;:;mgojJ7iJ:!jtfi;~~j~~IP.(/J
)iSingle Family" DDuplexDMulti-Family DRental DCommercial Dlndustrial "
Number of Fixtures:
Bathtub
Whirlpool
LavutOry
Toilet
Res. Sink
Bar Sink
Wawr Heater
o Gas 0 Elect 0 PwrVnt
Shower -L-
--L-
-L-
Floor Drain
(
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc,
Fixtures
Electric Contractor
Use / Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Drink Ftn Catch Basin
Wait. St. Wash Ftn
Ice eMst 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 St811.dp Rec
R.P.Z. Valve Eye Wash 8tn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
!ll! DElectiic Installation Verificati~n form attached.
(If Replacement)
blliM~1hU
/zU;1~~d .Ii
-
Size
Material
Type
#
Conn. Type
- 11/05