HomeMy WebLinkAbout0101315-PlumbingOSHKOSH
ON THE WATER
Job Address 124 CHURCH AVE
Contractor KIENAST L G UTILITY CONSTRUCTION
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner POKLASNY INC
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 LabSink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 101315
Create Date 05/07/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature ~,bandon water and sewer laterals.
of Work
Valuation
Issued By
Size Material Type #
Sanitary Sewer 4 inch Lateral
Storm Sewer
Water Service 3/4" Lateral
Conn. Type
1 Aband
0
0
0
0
0
0
0
0
0
1 Aband
0
0
0
0
[] Permit VoidedI
Date 05/07/2003
In the performance of t.,13Js work, I agree to perform all work pursuant to rules governing the described construction.
Signature y~__~?.,~'~ ~"~'"",~~,~7"
Agent/Owner
Date
Address 765 N WASHBURN OSHKOSH WI 54904 - 0000 Telephone Number
414-231-0898