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HomeMy WebLinkAbout0055732-Plumbing (laterals)OSH OSH ON THE WATER Job Address 958 COZY LA Contractor MERTEN PLUMBING Bathtub Shower Whirlpool Floor Drain Lavatory Lndry Tray Toilet Lndry Stndp Res. Sink Disposal Bar Sink Dishwasher Water Heater Sump Pump Site Drain Classrm SinM Roof Drain Breakrrn Sinl Use/Nature of Work Valuation Issued By CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner HELEN D RESOP Category 401 -Residential-Exte rior (laterals) Ejector/Grind Dip Well F Prep Sink Water Softner Drink Ftn Serv Sink Local Waste Wait. St. Shamp Sink Clothes Wshr Ice Chest FIrIWst Sink Bidet Exam Sink Catch Basin Beer Tap Sculry Sink Wash Ftn Dent. Oper. Hand Sink Urinal Lab Sink Plaster Sink Standp Rec Sterilizer Surgeons Sink Ice Maker No 0055732 Create Date 10/18/96 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Fact Grease Trap INSTALL CITY SEW $ WTR $2,500.00 Sze a ena ype one. ype Sanitary Sewer 4 Plastic Lateral 1 New Stone Sewer Water Service 1 Copper Lateral 1 New Permit Fees $20.00 ermi of e Date 11/18/96 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date AgenUOwner Address W 134 N 5522 CAMPBELL DR MENOMINEE WI 53051 - 0000 Telephone Number 1-800-964-8028 Job Address 958 COZY LA Owner HELEN D RESOP Category 401 -Residential-Exterior (laterals) htub Shower Whirlpool Floor Drain Lavatory Lndry Tray Toilet Lndry Stndp Res. Sink Disposal Bar Sink Dishwasher Water Heater Sump Pump Site Drain Claasrm Sink Roof Drain Breakrm Sink Use/Nature of Work Ejector/Grind Water Softner Local Waste Clothes Wshr Bidet Beer Tap Dent. Oper. Lab Sink Serilizer Plumbing Permit Work Card Permit Number ~99A9A99,s~-7.3~ Contractor MERTEN PLUMBING Plan Dip Well F Prep Sink Drink Ftn Serv Sink Wait. St. Shamp Sink Ice Chest Flr/VUst Sink Exam Sink Catch Basin Sculry Sink Wash Ftn Hand Sink Urinal Plaster Sink StandpRec Surgeons Sink Ice Maker Create Date 10/18/96 Value $2,500.00 Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap INSTALL CITY SEW & WTR ize a er a ype onn. ype Sanitary Sewer 4 Plastic Lateral 1 New Storm Sewer ...cer Service 1 Cop~,er Lateral 1 New iLe rype Inspector pprove