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OSHKOSH PLUMStNG PERMIT - APPLICATION AND RECORD
ON THE WATER ,/ ' I,', ' ", · , ' . '.' .'~ "
Job Address 17811783 MARICOPA DR ' I Owner MOKLER PROPERTIES INC
MOREMAN PLBG & HTGSERVICE INC ~ '. C~t~goiy411 - Residenti~l-wkier Heat~r~ ' .
~aJers6rir1er " " 'Wait. si. ' 'Shamp~ink~"
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Loc,al Waste Ic;e, c:~e~t , ,','" ~,,~lrf.VY.s! ~i.Il.~._
Clofhes Wshr Exam Sink Catch Basin
Bid~t ' Sculry Sink Wash Ftn
Be~r Tap Hand Sink Urinal
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Lab Sink Plaster Sink Standp Rec
_ . Stefiliz.:er ..SlJrgeons Sink Ice Maker
Dip Well' FPrep Sink Gar Drain
Dri~k Ftn Serv Sink SodaDisp
Create Date
. Plan" .
Lndry Tray
Disposal
Dishwasher
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Coffee Maker
,..lnt9r~~~.e.Jr~p
E~tGr!la.~!llrap
RPZ Valve
Eye Wash Statri
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sump Pump
1 Classrm Sink
Breakrm Sink
Ejector/Grind' '
EIV Unknown. **DEBIT ACCT**.
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. Size-
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rr"".-'''Conn:'Type
Sanitary Sewer
Parcelld #
1315140000
Issued By
$500:00 Plan APprov~1
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$0..00
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Permit Fees . _~_.--J2.~:OO 0 Permit V?idedl . .
Date 08/31/2007
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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 whichitisl1otClparty, 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
~,_~~'~~J,~~~
Agent/Owner
Address PO BOX 1325 . OSHKOSH WI 54903 - 1325 . Telephone Number (920) 231-9191
TOscll~~Ulei~spectionsplease'cairme'~'e;t<1i~~~f23t~5128 notingt~e Aadress, Permit ~'um6er, i\!pe'of 'f
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
N.urnb~r. .Ynl~s~ speci1ied otherWise,we~will assume the project is ready at the time the request is received. Work may
continue if thei"cspeCtion is not periorm~dwithin two bu~il1(ils,~~ays from the time the project is ready.
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