HomeMy WebLinkAbout0074446-Plumbing (abandon well) CITY OF OSHKOSH No 0074446
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1947 SIMPSON ST Owner MARY A SCHMACKLE Create Date 11/01/1999
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 FIr/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 Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature
of Work
INSTALL WTR SRV & ABANDON WELL
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
1 Copper Lateral 1 New
Valuation $800.00 Plan Approval $0.00 Permit Fees $10.00
Issued By Date 11/26/1999
0 Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 522 W. MURDOCK AVE OSHKOSH WI 54901 - 0000 Telephone Number 414 - 231 -9880