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0101405-Plumbing (laterals)
OSHKOSH ON THE WATER JobAddress 1100 EMMERS LN Contractor NAVIS, W & D INC Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res, Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner Category 430 - Industrial-Exterior (laterals) 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 0 Bidet 0 Exam Sink 0 Catch Basin 7 0 Beer Tap 0 SculrySink 0 WashFtn 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101405 Create Date 05/12/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ Use/Nature of Work NEW WALGREEN'S PARKING LOT DRAINAGE Sanitary Sewer Storm Sewer Water Service Size Material Type # 18 Plastic Lateral 15 Plastic Lateral Conn. Type 0 0 0 0 0 0 1 New 0 1 New 0 0 0 0 0 0 Valuation $27,600.00 Plan Approval $0.00 Permit Fees $92.00 Issued By Date 05/12/2003 [] Permit Voided In the performa~f this work,--I a~ree to perform all work pursuant to rules governing the described construction. Signature ~f,~..~ ,~ d~ Date--.~-" ~ --~..~ Agent/Owner Address P O BOX48 WAUPUN WI 53963 - 0000 Telephone Number 414-324-8995