HomeMy WebLinkAbout0099812 PCITY OF OSHKOSH
99812
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address1211 OTTER AVEOwnerL & S L CAPTAIN PROPERTIES LCreate Date02/12/2003
ContractorD.R. HANSEN PLBG.CategoryPlan
410 - Residential-Interior
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory10Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet10Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink20Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
Water Heater000Urinal0
Sump PumpDent. Oper.0Hand Sink
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature Correction notice to repair plumbing system drain and vent serving the listed fixtures.
of Work
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
0
0
0
Storm Sewer0
0
0
0
0
Water Service0
0
0
0
0
$0.00
Valuation$1,850.00Plan ApprovalPermit Fees$24.00
Issued ByDate02/12/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
Agent/Owner
Address55 KNAPP STOSHKOSHWI54902-0000Telephone Number233-1595