HomeMy WebLinkAbout0094915-Plumbing (well to city water)
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OSHKOSH
ON THE WATER
Job Address 2152 HICKORY LN
CITY OF OSHKOSH
No 94915
PLUMBING PERMIT - APPLICATION AND RECORD
Owner VERNON R ROGERS JRfAUGSBURGER
Create Date 06/05/2002
Contractor SOPER PLUMBING
Category 410 - Residential-Interior
Plan
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
- - -
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
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Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
- -
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
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Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
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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
SWITCH OVER FROM WELL TO CITY WATER
Size
Material
Type
#
Conn. Type
Sanitary Sewer
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Storm Sewer
Water Service
Issued By
:v..'N\
$400.00
Plan Approval
$0.00
Permit Fees
$20.00
Valuation
Date 06/06/2002
D Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
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Signatul'e.;;4 ~y~ ~ Date
/ - "" Agent/Owner
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Address 2225 BURNWOOD DR
Oshkosh
WI 54902 - 0000 Telephone Number 426-2151