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HomeMy WebLinkAbout0067416-Plumbing (addn to #66255) CITY OF OSHKOSH No 0067416 OSH' OSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3171 MOCKINGBIRD WAY Owner WELS CHURCH EXTENSION FUND Create Date 11/23/98 Contractor WATTERS PLUMBING Category 410 - Residential- Interior 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 1 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 Classrm Sink Lab Sink Plaster Sink Standp Rec Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker Use /Nature of Work XTRA FXTS TO PERMIT 66255 Size Material Type # Conn. 1ype Sanitary Sewer Storm Sewer Water Service Valuation $250.00 Plan Approval $0.00 Permit Fees $10.00 Issued By Date 11/23/98 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 1303 MIDWAY RD MENASHA WI 54952 - 0 Telephone Number 800 - 801 - 8125,733 -8 Category Os sh � � PLUMBING PER N = , .. on>h - "APPLICATION AND RECORD �, 7 ��� lob A d d r e ss Jr i , kiett Owne r :orttraetor WAITERS PLUMBIN 1 Create Date �_ • Plan thtub Shower EectodGrind Dip Well p F Prep Sink Grease Trap Nhirtpooi Floor Drain Water Softer Drink Ft Sery Sink -avator5► Lndry Tray Local Waste Wait. St Receptor Shamp Sink Other 'oiiet Lndry Stndp C ;othes Wshr - Ice Chess FlaWst Sink Res. Sink Disposal Bidet 3ar Sink Exam Sink Catch Basin Dishwasher Beer TaplSoda Scuiry Sink Wash Ftn Neter Heater Sump Pump Dent. Oper. Hand Sink Urinal JselNature :f Work i // - • ' ' , size • atenar I y p e Sanitary Sewer type / ' ---- 0 r „/,,t-/,' Storm Sewer • ci Water Service C 1 /aluatlon hermit Fees I ssued By Date In the performance of this work. I agree to perform ail work pursuant to rules governing the desalted c :nstruc;ion. Signature / / Agent/Owner Date 2 b "•2.0 _ Fif Address /3p /YJ, ev O °- d Zi�aasii n -� Ai/ , --e/i Telephone Number _722._:L3/z____24-__ •