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OSHKOSH
ON THE WATER
Job Address 510 HIGH AVE
CITY OF OSHKOSH No 121164
PLUMBING PERMIT - APPLICATION AND RECORD
Contractor KOCH PLUMBING
Category 410 - Residential-Interior
Owner CHAD S HAGERMAN Create Date 08/21/2006
Plan -
Bathtub
Whirlpool
lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
1
1
2
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
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
Use/Nature WORK IN ADDITION TO PERMIT #121098. REMODEUREPIPE 2ND FLOOR BATHROOM AND KITHCHEN, ALSO INSTAll NEW
of Work CLEARWATER SUMP. ""debt acct .
Sanitary Sewer
Storm Sewer
Water Service
Valuation $1,000.00 Plan Approval
Issued By UrY") k)
Size
Material
Type
#
Conn. Type
Parcel Id #
0103050000
Date 08/21/2006
$0.00
Permit Fees
$42.00 0 Permit Voided I
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
Address 2005 DOTY ST
Agent/Owner
OSHKOSH
Date
WI 54902 - 0000 Telephone Number 920-231-6661 or 235
To schedule inspections please call the Inspection Request line at 236-5128 rioting 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.