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HomeMy WebLinkAbout0098766-Plumbing (abandon remediation system)OSHKOSH ON THE WATER ,Job Address 1901 OREGON ST Contractor COATS, KEITH CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ROBERTAROSENBERG Category 431 - Industrial-Exterior (other) Ejector/Grind 0 DipWell 0 F Prep Sink Water Softner 0 Drink Ftn 0 Serv Sink LocaIWaste 0 Wait. St. 0 Shamp Sink Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink Bidet 0 Exam Sink 0 Catch Basin BeerTap 0 SculrySink 0 Wash Ftn Dent. Oper. 0 Hand Sink 0 Urinal Lab Sink 0 Plaster Sink 0 Standp Rec __ Sterilizer 0 Surgeons Sink 0 Ice Maker Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 0 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 No 98766 Create Date 11/22/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ Use/Nature of Work ABANDON REMEDiATION SYSTEM Sanitary Sewer Storm Sewer Water Service Size Material Type # 4 Plastic Lateral Conn. Type 0 0 1 Aband 0 0 0 0 0 0 0 0 0 0 0 0 Valuation $350.00 Plan Approval $0.00 PermitFees $25.00 Issued By Date 11/22/2002 [] Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature ~ ~--~~ Date ///,,//-,~ Agent/Owner Address 8424 SHiRLEYCT WINNECONNE WI 54986 - 0000 Telephone Number 414-582-3975