HomeMy WebLinkAbout0053282-Plumbing (repair san sewer) � C�TY OF OSHKOS
OSHKOSH H
ON THE WqTER
PLUMBING PERMIT -AppLICATION AND RECORD "° 0053282
Job Address 353 W 7T'H AVE
Owner JEFFREY/MARY CROUCH/J ST AUDIN
Contractor COATS,KEITH Create Date 06/1g/g6
Category 4p2_Residential-Exterior(other) --
Bathtub Shower P�an
Whirlpool Ejector/Grind Dip Well �—
Floor Drain Water Softner F Prep Sink Gar Drain
Lavatory Lnd Tra Drink Ftn Serv Sink
ry Y Local Waste Soda Disp
Toilet Lndry Stnd Wait.St. Shamp Sink �
Res.Sink P �lothes Wshr Ice Chest Coffee Maker
Disposal Bidet Flr/VI/st Sink Int Grease Trap
Bar Sink Dishwasher Exam Sink Catch Basin
Water Heater Beer Tap Sculry Sink Ext Grease Trap '
Sump PumP Dent.Oper. Wash Ftn
Site Drain Classrm Sink Hand Sink Urinal
Roof Drain Lab Sink Plaster Sink
Breakrm Sink Standp Rec
Sterilizer Surgeons Sink
Use/Nature Ice Maker
of Work REPAIR SAN SEW
Size Material
Sanitary Sewer TyPe # Conn.Type
Lateral 1 Repair
Storm Sewer
Water Service
Valuation $800.00
� Permit Fees �
Issued By
Date 07/10/96
Permit Voided �
In the pertormance of 's work,I re�e °''�ertorm all work pursuant to rules governing the described construction.
Signature � /,-- /
-��i�i
Agent/Owner Date ��G��
Address 353 W 7TH AVE
OSHKOSH �/�/� 54901
�— _ - 5919 Telephone Number