HomeMy WebLinkAbout0080334-Plumbing (repair leak @ curb stop) � CITY OF OSHKOSH No oosossa
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 318 W NEW YORK AVE Owner MATTHEW W TUCKER Create Date 07/06/2000
Contractor COATS,KEITH Category 402-Residential-Exterior(other) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn _ __ Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest _ FIrNVst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent.Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
REPAIR LEAK AT CURB STOP
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Lateral 1 Repaii
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00
Issued By �,,./ Date 08/22/2000
� Permit Voided I
In the perforrnance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 8424 SHIRLEY CT WINNECONNE WI 54986 -0000 Telephone Number 414-582-3975