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HomeMy WebLinkAbout0052859-Plumbing (laterals) CITY OF OSHKOSH No 0052859 OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1925 WHITE SWAN DR Owner PATRICIA SCHWALENBERG Create Date 05/21/96 Contractor SAMMONS PLUMBING Category 401 Residential Exterior (laterals) Plan Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst 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 Classmi Sink Lab Sink Plaster Sink Standp Rec Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker Use/Nature of Work INSTALL ST LAT FOR SUMP DISCHARGE Size Material Type Conn. Type Sanitary Sewer Storm Sewer Water Service Valuation $700.00 Permit Fees $10.00 Issued By Date 06 /17/96 U 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 1925 WHITE SWAN DR OSHKOSH WI 54901 2561 Telephone Number