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OSHKOSH
ON THE WATER
Job Address 324 N WESTHAVEN DR
Contractor GARTMAN MECHANICAL SERVICES
CITY OF OSHKOSH
No 124901
PLUMBING PERMIT - APPLICATION AND RECORD
Create Date OS/21/2007
Owner DIANA H LAEHN
Plan
Category 411 - Residential-Water Heaters
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink
Dishwasher Beer Tap Hand Sink
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink
Ejector/Grind Drink Ftn Serv Sink
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature ]SFR (CONDO) / REPLACE GAS WATER HEATER **debt acct
of Work
Conn. Type
#
Type
Material
Size
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
0622230100
$25.00 0 Permit Voided I
$0.00 Permit Fees
Valuation
Date OS/21/2007
Issued By
In the performance of this wor , 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.
Date
Signature
Agent/Owner
OSHKOSH
WI 54902 - 6470 Telephone Number 920-231-5530
Address 520 W SOUTH PARK AV
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.
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MAYc..21-2007 03:02 PM
City of Oahkosh
Inspection ServIces DivisiOll
POBox 1130
OlU1kosh, WI ~4903-1l3Q
P~one: (920) 136-S0S0
Fax: (920) 236.5084
Plumbing Permit Application
I horoby apply tor I permit to do and imtu.I1 the following plumbina on the p!em1t1CS hcrdna.fter deacnbe:d, the worl< to conform to the
Wisconsin StBte Plumbing Calk, in the pcnormance of which aU partie& hereto agree l~ and an: bound hy I'I"-io stlltl.ltea.
. 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 perm:it(s) will result in fees being doubled or $100.00 plLlSthCl
nOrmal permit fec, which ever is greater.
OR
f{::~ ~:"~lh~;~~;~;.~~';~~?:i1"J~~, ~'::;Z!f{e Am." S;ct.m ,n. I""~'a"",' (M.a" cl". .m
::~~~~ ::~:=~~C:l~~b D.t,_~\~~
~gI< Family DDuplex OMulti-FamIly []Rental DCommerclal []Industrial
'corJ!JO
Number of Fixtures;
BBthrob
wtriTlpool
wvatary
TcrilClt
ReI. ~lnk
9ar Sink . _
. ~lm" Healer I
GIla U I?1<ltlt Q I"wrVnt
hCl' __
Floor Drain
LlIcIty Tnly
loAb Sink
Plqtr;:rSillk
Stmf(im-
Misc.
P'bmlre&
Electric Contractor
DIIlPOQil\ Prlnkl'ln Catch mill
Pi&hwacbet Waft. lilt. Wa~h Pm
Slimp Pump Il;;Q t"tiCSl. tJrinlll
EieclorlOrilld Ex.m Sink Oar Drain
Wulcr Sunndr S~If)' Sln'k Souu Dillp
Local Wllal~ HAnd Sink CoCfll<l Milk"..
Clj)lhe~ Wwhr F Prep Sink - Comm. I&! M.~
Bidol Scrv Sink Site DrBin
B=TlI~ Int G1u&e T~p Roof Dr.iJ1
C1Glltlm1 Sin" ~\ G~c Trap SlBndp Rc<l
SlITgcons Sink R..i' .Z, Valve E.)'CIWJIl;hSill
E1rnl1krrn Sink Slwnp SUlIc WtrSo\>{lltMlTlI
DipWall Flr/W'!lt Sink D"du~ Mell!t1l
Hone. ~ib. Wtr 1I~8c Mlu
OR . DElectric Installation Verification form attached
(II R.t:plllOl!lI1onl)
~vtAJa-h'~~ ~
Use I Nature of Work
Size
Material
Type
#
. Conn. Type
Sanitary Sewer
Storm Sewer
Water ServLce
U/O;