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0101803-Plumbing
CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1130-1180 EMMERS LN Owner Contractor NAVIS, W & D INC Category 430 - Industrial-Exterior (laterals) Bathtub 0 Shower 0 Ejector/Grind 0 DipWell' 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 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 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101803 Create Date 05/29/2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature of Work STRIP MALL Sanitary Sewer Storm Sewer Water Service Size Material Type # 6 Plastic Lateral Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 1 New 0 0 Valuation $2,380.00 Plan Approval $0.00 Permit Fees $25.00 Issued By Date 05/29/2003 [] Permit Voided j In the performan~this work, I agree/to perform all work pursuant to rules governing the described construction. Signature ~{JJ~~t~ Agent/Owner Address P O BOX48 WAUPUN Date WI 53963 - 0000 Telephone Number