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HomeMy WebLinkAbout0099402-Plumbing (leak)OSHKOSH ON THE WATER .lob Address 427 W 17TH AVE Contractor COATS, KEITH Bathtub 0 Whirlpool 0 Lavatory 0 Toilet 0 Res. Sink 0 Bar Sink 0 Water Heater 0 Site Drain 0 Roof Drain 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner BRYAN L/PAMELA EMRICH Category 401 - Residential-Exterior (laterals) Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 99402 Create Date 01/09/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work REPAIR LEAK ON WTR SERV Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # .75 Copper Lateral $1,000.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 1 Repair 0 0 $25.00 Date 01/09/2003 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 SHIRLEY CT WINNECONNE WI 54986 - 0000 Telephone Number 414-582-3975 OSHKOSH ON THE WATER Job Address 427 W 17TH AVE Contractor COATS, KEITH CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner BRYAN L/PAMELA EMRICH Category 401 - Residential-Exterior (laterals) No 99402 Create Date 01/09/2003 Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Soda Disp Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wet Sink 0 Int Grease Trap Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __ Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work REPAIR LEAK ON WTR SERV Sanitary Sewer Storm Sewer Water Service Size Material Type # .75 Copper Lateral Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 1 Repair 0 0 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 Issued By Date 01/09/2003 [] Permit Voided J In the performance of this work~ I .agree to perform all work pursuant to rules governing the described construction. Signature ~'~~ ~ Date /~ ~ r.~ Agent/Owner Address 8424 SHIRLEY CT WINNECONNE WI 54986 - 0000 Telephone Number 414-582-3975