HomeMy WebLinkAbout0056334-Plumbing (laterals)OSH OSH
ON THE WATER
Job Address 965 COZY LN
Contractor SAMMONS 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 Sink
Roof Drain Breakrm Sink
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner MARY BLACK
Category 401 -Residential-Exterior (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 0056334
Create Date 11/22/96
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
INSTALL CITY SEW & WTR
$2,500.00
ze a a ype onn. ype
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
Water Service
1 Copper Lateral 1 New
remmi tees $20.00
ermi of e
Date 01 /07/97
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 3220 BASLER LANE OSHKOSH WI 54901 - 0000 Telephone Number 235-6951