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G
OSHKOSH
ON THE WATER
Job Address 1214 SPRUCE ST
CITY OF OSHKOSH
No
126101
PLUMBING PERMIT - APPLICATION AND RECORD
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Owner GORDON E/B SUSAN MAXWELL Create Date 08/06/2007
Category 41 0 - Residential-I nterior 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
Contractor SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Valuation
Issued By
Install new bathroom fixtures.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1205940000
$1,500.00
$0.00
$25.00 D Permit Voided I
Plan Approval
Permit Fees
Date 08/06/2007
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
OSHKOSH
Address 522 W. MURDOCK AVE
WI 54901 - 2298 Telephone Number 231-9880
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.
~M. 'S~MONS PLUMBING
522 W. Murdock Avenl.le
920-231-9880
Fax: 920.231-8485
FAX NO. :9202318485
Jul. 31 2007 03:26PM Pi
Sammons Plumbing
Fax
To: City of Oshkosh From: Mike Sammons
ATIN: Plumbing Inspector Pages: 1
Phone: 92()..231-9B80 Date: 07/31/07
Re: Plumbing permits ce.
o Urgent x For Revtew o Please Comment o Please Reply CI Please Recycle
. Comrftents: Please process the following plumbing permit.
Please pay from our account.
Susan Maxwell
1214 Spruce
replace tub. toilet & lav - in same location.
Value == $1500.00