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OSHKOSH
ON THE WATER
Job Address 932 WINNEBAGO AVE
CITY OF OSHKOSH
No
125858
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor SBS PLUMBING LLC
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
2 Shower
Floor Drain
3 Lndry Tray
2 Disposal
1 Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
2 hose bibs
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Owner HABITAT FOR HUMANITY OF OSHKOSH INC Create Date 07/18/2007
Category 410 - Residential-I nterior Plan
Wait. St. Shamp Sink Coffee Maker
Ice Chest Flr/Wst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn RPZ Valve
Hand Sink Urinal Eye Wash Statn
Plaster Sink Standp Rec Wtr Sewer Mtrs
Surgeons Sink Ice Maker Deduct Meters
F Prep Sink Gar Drain Wtr Usage Mtrs
Serv Sink Soda Disp
Use/Nature NSFR /INSTALL PLUMBING FOR NEW HOME **debt acct
of Work
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Conn. Type
#
Parcelld #
0203200000
$5,480.00 Plan Approval
~~
$112.00 0 Permit Voided I
$0.00 Permit Fees
Date 07/18/2007
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 4635 RED FOX RD
OSHKOSH
WI 54904 -7784 Telephone Number 920-410-5933
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter descnoed. the work to conform to the
Wisconsin State Plumbing Code, in the performance of which aU parties hereto agree to and ~ 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
I ou are a contractor artici atin in the Permit F
ou want this rocessed throu h our account
Job Address 'l3Z- t.J;rH,e~"
~>- tit r", 1/-4
lJ,dSingle Family ODuplex
Number of Fixtures:
;J
Bathtub
Whirlpool
Lavatory
Toilet
'3
"Z.
t
Res. Sink
Bar Sink
-
Water Heater
\i Gas 0 Elect,8 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Soflner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classnn Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Value (lncluding 1abor and materials) 5, Lfcgo . ~ Date 7/ Je-try
Contractor S (35 t>t~~. LLC
DMulti-Family []Rental DCommercial Ondustrial
1
,
---L-
DrfukFtn Catch Basin
Wait. St. Wash Ftn
Ice Chest Urinal
Exam Sink Gar Drain
Scuhr 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 Rec
RP.z. Valve Eye Wash Stn
Shamp Sink Wtr Sewer Mtrs
FlrlWst Sink Deduct Meters
Wtr Usage Mtrs
-::::=-
---.
--,...........
"'Z..
-z..
Electric Contractor
OR
DElectric Installation Verification form attached
(IfRcp1acement)
Use I Nature of Work l\k.oJ' ~J/I. "-C...h...........
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Conn. Type
#