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HomeMy WebLinkAbout0101479 POSHKOSH ON THE WATER ,Job Address 490 PEARL AVE Contractor EGBERT EXCAVATING INC CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CAMPUS APTS Category 402 - Residential-Exterior (other) Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 ClothesWshr 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 SculrySink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101479 Create Date 05/14/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature Abandon SEW & WTR of Work Valuation Issued By Sanitary Sewer Storm Sewer Size Material Type 6 Vitrified Clay Lateral Water Service .75 LEAD Lateral $500.00 Plan Approval $0.00 Permit Fees Conn. Type 1 Aband 0 0 0 0 0 0 0 0 0 1 Aband 0 0 0 0 $50.00 Date 05/14/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner GREEN LAKE WI 54941 - 0000 Telephone Number Address W-1302 N LAWSON DR PO BOX 462 294-6668 FX294-305~ OSHKOSH ON THE WATER Job Address 490 PEARL AVE Contractor EGBERT EXCAVATING INC CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Bathtub 0 Shower 0 Ejector/Grind Whirlpool 0 Floor Drain 0 Water Softner __ Lavatory 0 Lndry Tray 0 Local Waste Toilet 0 LndryStndp 0 Clothes Wshr __ Res. Sink 0 Disposal 0 Bidet BarSink 0 Dishwasher 0 BeerTap Water Heater 0 Sump Pump _ _0_ Dent. Oper. Site Drain 0 Classrm Sink 0 Lab Sink Roof Drain 0 Breakrm Sink 0 Sterilizer Owner CAMPUS APTS Category 402 - Residential-Exterior (other) 0 Dip Well 0 F Prep Sink 0 0 Drink Ftn 0 ServSink 0 0 Wait. St. 0 ShampSink 0 0 Ice Chest 0 FIr/Wst Sink 0 0 Exam Sink 0 Catch Basin 0 0 SculrySink 0 Wash Ftn 0 0 Hand Sink 0 Urinal 0 0 Plaster Sink 0 Standp Rec 0 0 Surgeons Sink 0 Ice Maker 0 No 101479 Create Date 05/14t2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature Abandon SEW & WTR of Work Size Material Type Sanitary Sewer 6 Vitrified Clay Lateral Storm Sewer Water Service ' .75 LEAD Lateral Valuation $500.00 /~ Plar~Apl:)ro~/~l $0.00 · "-J v" ' - '-'~) [] Permit Voided Conn. Type I Aband 0 0 0 0 0 0 0 0 0 I Aband 0 0 0 0 Permit Fees $50.00 Date 05/14/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address W-1302 N LAWSON DR PO BOX 462 GREEN LAKE WI 54941 - 0000 Telephone Number 294-6668 FX294-305