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HomeMy WebLinkAbout0102276 P CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 635 W 20TH AVE Owner Contractor PETERS MECHANICAL INC Category 430 - Industrial-Exterior (laterals) Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink Toilet 0 Lndry Stndp 0 CIothesWshr 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 SculrySink 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 102276 Create Date 06/19/2003 Plan D2-34-0603-P Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work INSTALL SEWER AND WATER SERVICES FOR NEW PLANE HANGER Valuation Issued By Size Material Type Sanitary Sewer 6" Plastic Lateral Storm Sewer 30" Concrete Lateral Water Service 8" Plastic Lateral $60,000.00 Plan Approval $0.00 Permit Fees Conn. Type 1 New 0 0 0 0 1 New 0 0 0 0 1 New 0 0 0 0 $75.00 Date 06/19/2003 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 1421 S WEBSTER AVE OMRO WI 54963 - 0000 Telephone Number HOME 685-2694 OSHKOSH ON THE WATER Job Address 635 W 20TH AVE Contractor PETERS MECHANICAL INC CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner Category 430 - IndustriakExtedor (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 LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink Toilet 0 LndryStndp 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 SculrySink 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 Use/Nature of Work No 102276 Create Date 06/19/2003 Plan D2-34-0603-P 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 INSTALL SEWER AND WATER SERVICES FOR NEW PLANE HANGER Size Material Type # Conn. Type Sanitary Sewer 5" Plastic Lateral 1 New 0 0 0 0 Storm Sewer 30" Concrete Lateral 1 New 0 0 0 0 Water Service 8" Plastic Lateral 1 New 0 0 0 0 Valuation $60,000.00 Plan Approval $0.00 Permit Fees $75,00 Issued By [] Permit Voidedjl Date 06/19/2003 In the performance pLt~rk,.b~gree to~erfpcm-elL~/ork Du%uant to rules governing the described construction. Signature ~__~~~~_' Date ~ ~ ~ Agent/Owner Address 1421 S WEBSTER AVE OMRO WI 54963 ~ 0000 Telephone Number HOME 665-2694