HomeMy WebLinkAbout0074574-Plumbing (abandon) �
� CITY OF OSHKOSH No 0074574
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 215 ALGOMA BLVD Owner AGNES L MEYER LIFE ESTATE Create Date 10/12/1999
Contractor KOCH PLUMBING Category 402-Residential-Exterior(other) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv 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 $20.00
Issued By Date 12/01/1999
� Permit Voided
In the perFormance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 315 LAMPERT ST OSHKOSH WI 54901 -0000 Telephone Number BUTCH(C)585-8753
���) CITY OF OSHKOSH ENGINEERING DEPT. STREET
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