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HomeMy WebLinkAbout0102154-PlumbingOSHKOSH ON THE WATER .lob Address 2700 W 9TH AVE Contractor BASSETT MECHANICAL 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 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner MERCY MEDICAL CENTER OSH INC Category 440- Industrial-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 102154 Create Date 06/11/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature COMM/Rework drains on Dialysis Equipment. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $3,000.00 Plan Approval $0.00 Permit Fees Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 06/12/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1215 HYLAND AVE PO BOX 7000 KAUKAUNA WI 54130 - 0000 Telephone Number 800-236-2502==920-~ 3u~ 1,~2 10: 13a Oshkosh In$oeet~on$ S2C-~3G-$084 City of Oshkosh ~'~sp¢ction Services Divimon oshkosh, W! $~P03-1130 O/HKOi H Plumbing Per~licat~°n ] h~rcby a~iy fo~ a ~ m ~o a~ msmt] the foHowm3 pl~bia~ Wisco~n S~tc ~[cmb[~[ Codc, m th~ p~ffo~c~ of wh[c~ A~p[[c~do~(s) ~ fCC(s) can ~c ~ou~[ to Ci~ HaH, loom Osh~os~ WI 54903-] [~8, ~omm¢~ci~ wor~ w~thoa[ / you ar~ ~ contractor ~rtJc~ ~t~n ~n the Permit Job Address ~_7OO A/, q¢~ AV~. Value (l~clud,ngta~0r~nd~"m]s) *:~, oo o Owner lu, ar~cy/~.o,~.,.~- c.~,,xr~- Contractor ~,ssevx p,~c~,~u,c..u~- [--~Single Family ~Duplex F-lMulti-Family [~Rental ]~]Commercial Date 6- tO-O.B [~lndustrial lumber of Fixtures: Dcm. Opcr. Bathlub Lndry Standp -- Wait. St, Toilel Sump Pump Electric Contractor Shamp Sink Flr/Wst Sink Catch Basin Wash Fm Udnal O~. [-]Electric Installation Verificatidn form attached (If Rcplacerra:nt) Use/NatureofWork ~..~. ~ o~ ~>~¥r,s o~ ,.~-r ~ry Sewer . ~Storm Sewer ~ Water Service Size Material Type ~p n~ZzyZ qq MASTER PLUMBER PROJECT MANAGER 920-759'2500 · 800-236-2500 · FAX 920-759-2525 1215 Hyland Av., P.O. Box 7000, Kaukauna, WI 54130