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0100468 P
OSHKOSH ON THE WATER .lob Address 486 PEARL AVE Contractor FLEISCHAM EXCAVATING 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 CAMPUS APTS OSH INC Category 402 - Residential-Exterior (other) Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 CIothesWshr 0 Ice Chest 0 FIrNVst 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 100468 Create Date 03/27/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work ABANDON SEW & WTR Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # 6 Vitrified Clay Lateral .75 LEAD Lateral $500.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 1 Aband 0 0 0 0 0 0 0 0 0 1 Aband 0 0 $50.00 Date 03/27/2003 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 1101 MILWAUKEE ST LOMIRA WI 53048 - 0000 Telephone Number 920-269-4763 OSHKOSH ON THE WATER Job Address 486 PEARL AVE Contractor FLEISCHAM EXCAVATING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner CAMPUS APTS OSH INC Category 402 - Residential-Exterior (other) Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 DiSposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100468 Create Date 03/27/2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature of Work ABANDON SEW & WTR Sanitary Sewer Storm Sewer Water Service Size .75 LEAD Material Type # Vitrified Clay Lateral Lateral Conn. Type 0 0 1 Aband 0 0 0 0 0 0 0 0 0 I Aband 0 0 Valuation $500.00 Plan Approval $0.00 PermitFees $50.00 Issued By Date 03/27/2003 [] Permit Voided In the performa~e of this.wo~ perform all work pursuant to rules governing the described construction. Signature ./~tj,.~'~ )L_~ Date ~ Agent/Owner Address 1101 MILWAUKEE ST LOMIRA WI 53045 - 0000 Telephone Number 920-269--4763