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HomeMy WebLinkAbout0101147-Plumbing (repair)OSHKOSH ON THE WATER .lob Address 802 W 11TH AVE Contractor COATS, KEITH 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 DAVID DODGE/ANGELEEN LORD Category 401 - Residential-Exterior (laterals) Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 ClothesWshr 0 Ice Chest 0 FIr/Wst 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 101147 Create Date 05/01/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work REPAIR SAN SEWER LATERAL Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # Vitrified Clay Lateral $1,500.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 1 Repair 0 0 0 0 0 0 0 0 0 0 0 0 $25.00 Date 05/01/2003 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 8424 SHIRLEY CT WINNECONNE WI 54986 - 0000 Telephone Number 414-582-3975 OSHKOSH ON THE WATER Job Address 802 W 11TH AVE Contractor COATS, KEITH 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 DAVID DODGE/ANGELEEN LORD Category 401 - Residential-Exterior (laterals) Ejector/Grind 0 DipWell 0 F Prep Sink Water Softner 0 Drink Ftn 0 Serv Sink Local Waste 0 Wait. St. 0 Shamp Sink Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink Bidet 0 Exam Sink 0 Catch Basin BeerTap 0 SculrySink 0 Wash Ftn Dent. Oper. 0 Hand Sink 0 Urinal Lab Sink 0 Plaster Sink 0 Standp Rec Sterilizer 0 Surgeons Sink 0 Ice Maker No 101147 Create Date 05/01/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Use/Nature of Work REPAIR SAN SEWER LATERAL Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # 6 Vitrified Clay Lateral Conn. Type 0 0 1 Repair 0 0 0 0 0 0 0 0 0 0 0 0 ,$1,500.00 Plan Approval $0.00 Permit Fees $25.00 Date 05/01/2003 [] Permit Voided J In the performance of this work, I a~qree to perform all work pursuant to rules governing the described construction. Signature ~~-~ ~ '~~ Date Agent/Owner Address 8424 SHIRLEY CT WINNECONNE WI 54986 - 0000 Telephone Number 414-582-3975