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0098452-Plumbing (lateral)
CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 712 W LINCOLN AVE Owner ROBERT W SPIEGELBERG ETAL Contractor MOREMAN PLUMBING Category 430 - Industrial-Exterior (laterals) Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink __ Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink __ Toilet 0 LndryStndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __ Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 98452 Create Date 11/06/2002 Plan 0 0 0 0 0 0 0 0 0 Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ 0 0 0 0 0 Use/Nature of Work ROOMING HOUSE REPAIR SAN SEWER LATERAL Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # 6 Vitrified Clay Lateral Conn. Type 0 0 1 Repai~ 0 0 0 0 0 0 0 0 0 0 0 0 $2,300.00 Plan Approval $0.00 Permit Fees $25.00 Date 11/06/2002 [] Permit VoidedI In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature ' Date Agent/Owner Address PO BOX 1325 OSHKOSH WI 54903 - 0000 Telephone Number 231-9191