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OSHKOSH
ON THE WATER
Job Address 729 SIEWERT TRL
CITY OF OSHKOSH No 127177
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH Create Date 10/09/2007
Plan
Contractor O'NEILL ENTERPRISES INC
Category 430 - Industrial-Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature Install 1-114" water and 4" sanitary lateral to Parks Building addition.
of Work
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
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Valuation
Size
Material
Plastic
Sanitary Sewer
4"
Storm Sewer
Water Service
1-114"
Plastic
Lateral
Type
Lateral
#
Conn. Type
New
Issued By
Parcelld #
1110350000
$4,300.00
Plan Approval
$0.00
Permit Fees
New
$100.00 0 Permit Voided I
Date 10/09/2007
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 522 W 6TH AVE
OSHKOSH
WI 54902 - 5916 Telephone Number 920-230-2007
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.
WARD: II II.
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LOCATION: 7P.9 Se:W'e:rcr T'r~' I
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DATE: /0 -' /.2-o?
DHL#:
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CONTRACTOR:
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MEASUREMENTS:
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PERMIT#: AJO
BLACKDIRT: YES ~
CONCRETE: YES NO.>
DETAILS: -
WORKERS: s(',- PS