HomeMy WebLinkAbout0080894-Plumbing (xtra fxts) CI TI( OF OSHKOSH No oo8oss4
OSHKOSH PLUMBING PERM IT -APPLICATION AND RECORD
ON THE WATER
Job Address 250 JOSSLYN ST Own i r TENDER LOVING CARE DAYCARE Create Date 05/31/2000
Contractor JIM'S PLUMBING Categ ory 440 -Industrial-Interior Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory 1 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet 2 Lndry Stndp Clothes Wshr Ice Chest FIrIV11st Sink Int Grease Trap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump 1 Dent. Oper. Hand Sink Urinal
Site Drain 2 Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breaknn Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
XTRA FXTS TO PERMIT 75023
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Size Material Type # Conn. Type
Sanitary Sewer
Stone Sewer
Water Service
Valuation $800.00 Plan Approval
Issued By
Permit Fees $24.00
__ Date 09/11/2000
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described consUuction.
Signature Date
AgenUOwner
Address W-6166 GREENVILLE DRIVE GREENVILLE WI 54942 - 0000 Telephone Number 757-5258 OR 757-64
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