HomeMy WebLinkAbout0100256 POSHKOSH
ON THE WATER
.lob Address 1900 N MAIN ST
Contractor LUVERN KIENAST EXC.
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner BRETT J JUNGWIRTH
Category 430 - Industrial-Exterior (laterals)
Ejector/Grind 0 DipWell 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocalWaste 0 Wait. St. 0 Shamp Sink 0
ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100256
Create Date 03/17/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Disconnect and abandon water and sewer.
of Work
Valuation
Issued By
Size Material Type #
Sanitary Sewer 4 inch Lateral
Storm Sewer
Water Service Lateral
$500.00 Plan Approval $0.00 Permit Fees
Conn. Type
1 Aband
0
0
0
0
0
0
0
0
0
1 Aband
0
0
0
0
$50.00
Date
03/17/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 765 N WASHBURN OSHKOSH WI 54904 - 0000 Telephone Number
231-0898
OSHKOSH
ON THE WATER
Job Address 1900 N MAIN ST
Contractor LUVERN KIENAST EXC.
Bathtub 0 Shower 0
Whirlpool 0 Floor Drain 0
Lavatory 0 Lndry Tray 0
Toilet 0 Lndry Stndp 0
Res. Sink 0 Disposal 0
Bar Sink 0 Dishwasher 0
Water Heater 0 Sump Pump 0
Site Drain 0 Classrm Sink 0
Roof Drain 0 Breakrm Sink 0
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner BRETT J JUNGWIRTH
Category 430 - Industrial-Exterior (laterals)
Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Water Softner 0 Drink Ftn 0 Serv Sink 0
LocaIWaste 0 Wait. St. 0 ShampSink 0
Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Bidet 0 Exam Sink 0 Catch Basin 0
BeerTap 0 SculrySink 0 Wash Ftn 0
Dent. Oper. 0 Hand Sink 0 Urinal 0
Lab Sink 0 Plaster Sink 0 Standp Rec 0
Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100256
Create Date 03/17/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature Disconnect and abandon water and sewer.
of Work
Valuation
Issued By
Size Material Type #
Sanitary Sewer 4 inch Lateral
Storm Sewer
Water Service Lateral
Conn. Type
Aband
Aband
Plan Approval $0.00 Permit Fees $50.00
[] Permit Voided
Date
03/17/2003
In the performance of this w_grk, I agree to perform all work pursuant to rules governing the described construction.
Agent/Owner
Date
Address 765 N WASHBURN OSHKOSH WI 54904 - 0000 Telephone Number 231-0898