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HomeMy WebLinkAbout0101460 POSHKOSH ON THE WATER .lob Address 52 STONEY BEACH RD Contractor GLAZE PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 0 Sump Pump 1 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MARK K/KELLY K LAUX Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101460 Create Date 05/13/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace clear water sump pump. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $250.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 05/13/2003 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 Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 589-4014 ! he.by al~ly for a permit ~ d~a and in~tatt the folIo~ p~ on ~ ~ h~r ~ I ~~E~T OF ' Plumbing Permit ~~ DE~ELOPgENT Number of Mxtares: ~q~h'll~ol ~ Oi~l .. Dip ToPm ~ ~ ~ ~ w~ St, s~ .... B~ F Fr~ ~ T~ .... ~a~ ~ 1~ ~ T~ ~ ~ '- ~ Sink ............ ~ S~-~a:a, PO Boa 1128, g doaM~l or SIO0,O0 plus :retnt lr~Industrtnl n Verlfleafl&e form attnched