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OSHKbSH
ON THE WATER
Job Address 2445-2447 BLAKE CT
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 0061664
Contractor
Category 401 - Residential-Exterior (laterals)
STREY EXCAVATING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
UselNature
of Work
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
Lab Sink
Sterilizer
Owner
SECURITY HOMES
Create Date 12/03/97
Plan
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
NEW DUPLEX
I
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$2,000.00
Ize
4
6
1 1/4
Plan Approval
Plastic'
Plastic
Copper
$0.00
Permit Fees
Lateral
New
Lateral
New
Lateral
New
$30.00
Date 12/11/97
U Permit VOided r
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Address 742 WITZEL AVE
Agent/Owner
Oshkosh WI 54901 - 0
Telephone Number 920-233-0339