HomeMy WebLinkAbout0054978-Plumbing (laterals) CITY OF OSHKOSH No oo5as~a
OSH OSH PLUMBING PE RMIT -.APPLICATION AND RECORD
ON THE WATER
Job Address 920 COZY LN Owner ..KEN KIELISZEWSKI Create Date 10/09/96
Contractor VEE SER PLUMBING & CONSTRUCTIO Category -401 -Residential-Exterior (laterals). Plan
Bathtub Shower Ejector/Grind Dip Well : F Prep Sink Gar Drain
Whirlpool Floor Drain Water $oftner Drink Ftn
T `Serv Sink.
., Soda Disp
Lavatory
Lndry Tray
Local Waste
Wait. St. _
Shame Sink _
Coffee Maker
Toilet Lndry Stndp Clothes Wshr
T Ice Chest Flr/Wsf 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 Dent. Oper. Hand Sink Urinal.
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink lce Maker
Use/Nature
of Work ~ INSTALL CITY SEW & WTR
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Valuation $4,670.00
Issued By
In the perfor \~c\e of this work, I a re to pertorm all rk pursuant to rules gover ' the described construction.
Signature ~ ` ~ Date (~ ~~
Agen caner
Address 208 E SNELL RD OSHKOSH WI 54901 - 0000 lephone Number 235-1422
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