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OSHKOSH
ON THE WATER
Job Address 3325 S WASHBURN ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FINTAN/CAROL FLANAGAN REV TRUST
Contractor HURCKMAN MECHANICAL INDUSTRIES, INC. Category 440 -Industrial-Interior
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain 4 Local Waste Ice Chest FlrlWst Sink
Lavatory 2 Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet 2 Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain 2 Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc. 6 HOSE BIBB
Fixtures
No 127441
Create Date 10/23/2007
Plan ZZ2-278-1007-P
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
NEW CONSTRUCTION FOR "BERGSTROM SUBARU" INTERIOR PLUMBING. (CK#48784)
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcelld #
1365500000
Use/Nature
of Work
Valuation
$39,000.00 Plan Approval
$0.00 Permit Fees
$168.00 D Permit Voided I
Issued By
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 POBOX 10977
GREEN BAY
WI 54307 - 0977 Telephone Number 920-499-6984 EXT 1
Date 10/23/2007
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.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OfHKOfH
ON THE WATER
Plumbing Permit Application
22;2..- 27{'-IOO 7-r
I hereby apply for a pennit 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 all parties hereto agree to and are 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
Ifvou are a contractor particivating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this vrocessed throurzh vour account n
Job Address 33';{ 5 S, WFt-SffR (J RJJ ~de-:
15E~ 5TRoM 'Su81} 1(. U
DSingle Family DDuplex DMulti-Family
Owner
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater -,
o Gas Iil"Elect 0 J>.mVnt
~
~
Shower
Floor Drain -!:i-
Lndry Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Value (Including labor and materials) ;3q I (JC) I(J . h Date I () ~ / '1. 0'7
.
rn. i t<2.o A} (' /') A.J :=; -rP. () c-r, 0;::'
DRental ~Commercial Dlndustrial
Contractor
Disposal
Dishwasher
DrinkFtn
Wait. St
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Serv Sink
Int Grease Trap
Ext Grease Trap
R.P.Z. Valve
Shamp Sink
Flr/Wst Sink
I
Catch BliSin
Wash Ftn
Urinal
Gar Drain
Soda Disp
Coffee Maker
~. Ice Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
--L
{,
-L
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Electric Contractor
Use I Nature of Work
Sanitary Sewer
Storm Sewer
Water Service
--L
-(pr
02,...
"f9?
OR
DElectric Installation Verification form attached
(If Replacement)
--:P L tJ r'h l,;, j" IV :J
Size
Material
Type
#
I
OCT 1 8 2007
DEPARTMENT OF
COMMUNITY DEVELQPMENTJ.J.!05
INSPECTION SERVICES DIVISION