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OSHKOSH ON THE WATER ,Job Address 166 W 24TH AVE Contractor COATS, KEITH CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MARINE CREDIT UNION 402 - Residential-Exterior (other) Category Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 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 No 99219 Create Date 12/17/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ Use/Nature of Work ABANDON SEW&WTR Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # 4 Iron Lateral .75 LEAD Lateral Conn. Type 0 0 1 Aband 0 0 0 0 0 0 0 0 0 1 Aband 0 0 $150.00 Plan Approval $0.00 Permit Fees $50.00 Date 12/30/2002 [] Permit Voided In the performanc,e of this work,_L~gree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 8424 SHIRLEYCT WINNECONNE WI 54986 - 0000 Telephone Number Plumbing Permit Work Card Job Address 166 W 24TH AVE Permit Number 99219 Owner MARINE CREDIT UNION Contractor COATS, KEITH Category 402 - Residential-Exterior (other) Plan 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 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 0 LndryStndp 0 CIothesWshr 0 Ice Chest 0 FIr/WstSink 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 Use/Nature of Work Create Date 12/17/2002 ABANDON SEW & WTR Value $150.00 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Sanitary Sewer Storm Sewer Water Service Date Size .75 LEAD Material Iron Type # Conn.Type 0 0 Lateral 1 Abandn 0 0 0 0 0 0 0 0 0 Lateral 1 Abandn 0 0 Type Inspector Date/Time requested: Access: : Notice Type: Telephone Number: Ready Date/Time: : Requested By: (~ Reinspect Fee (~ Fee Waived [] Reinspect Fee Paid