HomeMy WebLinkAbout0055735-Plumbing (laterals)OSH OSH
ON THE WATER
Job Address 983 COZY LN
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner LORETTA BORSKI
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 SinN
Roof Drain Breakrm SinM
Use/Nature
of Work
Valuation
Issued By
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 FINWst 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 0055735
Create Date 10/29/96
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
INSTALL CITY S & W
$2,500.00
ze a na ype onn. ype
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
Water Service
1 Copper Lateral 1 New
rermit tees $20.00
Date 11/18/96
ermi of e
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address W 134 N 5522 CAMPBELL DR MENOMINEE WI 53051 - 0000 Telephone Number 1-800-964-8028