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CITY OF OSHKOSH No 127680
PLUMBING PERMIT - APPLICATION AND RECORD
G
OSHKOSH
ON THE WATER
Job Address 812 GRAND ST
Owner STEPHEN J/SARAH K IVES Create Date 11/06/2007
Plan
Category 4_~_~R_e~~e-nJi~_~\['J.aJ~-Ij~a-tE'~.r:;_-~- ______
Contractor SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower Water Softner Wait. St. Shamp Sink
Floor Drain Local Waste Ice Chest Flr/Wst Sink
Lndry Tray Clothes Wshr Exam Sink Catch Basin
Disposal Bidet Sculry Sink Wash Ftn
Dishwasher Beer Tap Hand Sink Urinal
Sump Pump Lab Sink Plaster Sink Standp Rec
Classrm Sink Sterilizer Surgeons Sink Ice Maker
Breakrm Sink Dip Well F Prep Sink Gar Drain
Ejector/Grind Drink Ftn Serv Sink Soda Disp
ISFR /INSTALL NG WATER HEATER **debt a-cct----------------
I
i
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Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Material
Type
#
Conn. Type
Size
Sanitary Sewer
Storm Sewer
Water Service
Plan Approval
$0.00
Permit Fees
$25.00 D Permit Voided I
____~..__ _._~_,._~~_.J
Parcelld #
1003980000
Date 11/06/2007
Valuation $600.00
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 522 W. MURDOCK AVE OSHKOSH WI 54901 - 2298 Telephone Number 23_1_:98~9- --
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.