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0102130-Plumbing (laterals)
ON THE WATER Job Address 60 70 CHERRY PARK CT Contractor NOVAK EXCAVATING INC CITY OF OSHKOSH PLUMBING PERMIT- APPLICATION AND RECORD Owner MOKLER CONSTRUCTION LLC Category 401 - Residential-Exterior (laterals) Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink __ Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 6 Shamp Sink __ Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __ Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn Water Heater 0 Sump Pump 0 Dent. Oper, 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec __ Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink ~ 0 Ice Maker No 102130 Create Date 06/12/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Use/Nature of Work NEW DUPLEX Sanitary Sewer S~rm Sewer 4 Water Service 1 Size Material Type 4 Plastic Lateral Plastic Lateral Copper Lateral Conn, Type 0 0 I New 0 0 0 0 1 New 0 0 0 0 I New 0 0 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $75,00 Issued By Date 06/12/2003 [] Permit Voided~ In the performance of this wo~. I agree to p.9.~form ~/'~ork pursuant to rules governing the described construction- //~,~,//~_..~ Signature ~ ..,~~./~ Date .,,~-';~,'//~_./ "'~ Agent/Owner Address PO BOX 389 RIPON Wi 54971 - 0000 Telephone Number 920-748-2512 OR 57