HomeMy WebLinkAbout085802 - Plumbing (Abandon Sew and water) CITY OF OSHKOSH No 85802
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2111 MOUNT VERNON ST Owner THOMAS N RUSCH Create Date 04/17/2001
Contractor RUSCH CONSTRUCTION Category 402-Residential-Exterior(other) 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 Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
ABANDON SEW&WTR
Size Material Type # Conn.Type
Sanitary Sewer
ABANDON Lateral 1
Storm Sewer
Water Service
ABANDON Lateral 1
Valuation $300.00 Plan Approval $0.00 Permit Fees $50.00
Issued By Date 05/08/2001
0 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 3807A STATE RD 21 Oshkosh WI 54904 -0000 Telephone Number 231-8203