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OSHKOSH
ON THE WATER
Job Address 1635 W 20TH AVE
CITY OF OSHKOSH
No 125116
PLUMBING PERMIT - APPLICATION AND RECORD
!
Owner LEONARD GITERESA T SCHMICK
Create Date 06/01/2007
Category 440 - Industrial-Interior
Plan
Contractor L.C. PLUMBING INC.
Bathtub
Whirlpool
Lavatory
ToilE~t
Res. Sink
Bar Sink
Water Heater
Site Drain
Roolf Drain
Misc:.
Fixtures
Use/Nature
of Work
Valuation
Issued By
,
i
Shamp Sink '_
FlrlWst Sink'
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Catch Basin
Wash Ftn
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Shower Water Softner Wait. St.
Floor Drain Local Waste Ice Chest 2
Lndry Tray Clothes Wshr Exam Sink
Disposal Bidet Sculry Sink 1
-
Dishwasher Beer Tap Hand Sink 2
Sump Pump Lab Sink Plaster Sink
Classrm Sink Sterilizer Surgeons Sink
Breakrm Sink Dip Well F Prep Sink 1
-
Ejector/Grind Drink Ftn 0 Serv Sink 0
Tea brewer
Urinal
Standp Rec i
Ice Maker
Gar Drain
1-
Soda Disp
2
,
Convert Wendy's into new Subway. T
Size Material Type # Corin. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1323200000
$2,000.00 Plan Approval
$0.00 Permit Fees
$84.00 0 Permit Voided I
I
Date 06/04/2007
,
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction;
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s d to secure a ecessary approvals before starting such activity.
Signature
,6" ~ -0 )
.
Date
Agent/Owner
Address N7012 ST RD 49 FREEMONT WI 54940 - 0000 Telephone N~mber 1-920-867-5051
To schedule inspections please call the Inspection Request line at 236-5128 noting the Addre$s, Permit Number, Type of
Ilnspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
INumber. Unless specified otherwise, we will assume the project is ready at the time the requ~st is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.