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HomeMy WebLinkAbout0068155-Plumbing (laterals) (?D CITY OF OSHKOSH No 0068155 OSH' OSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 25 WAUGOO AVE Owner DAVID H JUEDES Create Date 09/03/98 Contractor BERNDT EXCAVATING Category 430 - Industrial- 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 "TEN PIN TAP" RELAY WTR SERV Size material Type # corm. Type Sanitary Sewer Storm Sewer Water Service 1 Copper Lateral 1 New Valuation $1,000.00 Plan Approval $0.00 Permit Fees $10.00 Issued By Date 01/14/99 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 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0 Telephone Number 235 -3331 (CAR) 213