HomeMy WebLinkAbout0084277-Plumbing (open site drain) ��
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` • � CITY OF OSHKOSH No s4277
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 845 HIGH AVE Owner UW OSHKOSH Create Date 02/14/2001
Contractor WATTERS PLUMBING Category 440-Industrial-Interior 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 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 1 Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature nstall one open site drain for himidifier
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $300.00 Plan Approval $0.00 Permit Fees $20.00
Issued By �/'`� Date 02/14/2001
� Permit Voided I
In the performance of this work,I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 1303 MIDWAY RD MENASHA WI 54952 -1129 Telephone Number 800-801-8125,733-81
CI'fl(OF 03HKOSH NQ,�
Os� .
sh PLUMBfNG PERMIT-APP�LlCA'�ION ANtS �EC `���
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ORD � �
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G! 1..� • i3 C[ �� � Create Date ? • T-6%
orttractor WATTERS PLUMBING Category Plan
att►tub Showec EjectoNGrind Dip We0 F Prep Sink Grease Trap
thirfpool Floo�Drai� Water Softner Ddnk Ftn Serv Sink Receptor
: �tory L.ndry Tray Local Waste Waii.St Shamp Sink Other
oikt Lndry Stndp CloUties Wsh� Ice Chest F1rIWst Sink
es.Sink Qisposal Bidet Exam Sink Catch Basi�
ar Sink Dishwasher Boer Tap/Soda Sculry Slnk Wash Ft�
later Heater Sump Pump DeM.Oper. Hand Slnk Urinal
sNNature
f Wa1c / n ,
�i,so�p/� ent oper. S��i �i2R�� �f /�ur�:c������R
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Sanitary Sewer
Stortn Sewer
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�luadon ��io '� Permit Fees
�� Date
in fhe perfortrqnoe of this work,i egree to perfoan ap wo rsuani to n�es goveming the desaibed vorutruction.
Signature �''
Date �- 9_pj
AgenUOwner
Addrass /'p.S /':c/v.Fl /«/ t:n ,l,a c...Z syy�� er i p Telephone Number f 20-7,)•a'7/?
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