HomeMy WebLinkAbout0076813- Plumbing (Sewer/Water) Plumbing Permit Work Card
Job Address 912 N LARK
Permit Number O0,9S10€00074,P300 Create Date 12/10/1999
Owner RAY FORES Contractor FOX VALLEY EXCAVATING
Category 401 -Residential-Exterior(laterals)
Plan Value S2.200.00
Ejector/Grind Dip Well F Prep Sink Gar Drain
Bathtub Shower
Floor Drain Water Softner Drink Ftn
Sery Sink Soda Disp
Whirlpool -Tray Coffee Maker
Sham Sink
LndryLocal Waste Wait.St. p
Lavatory FIrNVst Sink Int Grease Trap
Toilet Lndry Stndp Clothes Wshr Ice Chest
Res.Sink Disposal Bidet
Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Dent.Oper. Hand Sink Urinal
Water Heater Sump Pump Standp Rec
Site Drain Classrm Sink Lab Sink Plaster Sink
Roof Drain Breakrm Sink Sterilizer Surgeons Sink
Ice Maker
Use/Nature
of Work
NSFR
Size Material Type # Conn.Type
Sanitary Sewer
4 Plastic Lateral 1 New
C/ /,t2/°/9'.9'
Storm Sewer
Plastic Lateral 0 New
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Water Service
1 Copper Lateral 1 New
Date 12/10/1999 Type SewerJ ater Inspector WJCKApproved
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0 CITY OF OSHKOSH No 0076813
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 912 N LARK Owner RAY FORES Create Date 12/10/1999
Contractor FOX VALLEY EXCAVATING Category 401 -Residential-Exterior(laterals) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray _ Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res.Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Scully 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
NSFR
Size Material Type # Conn.Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
Plastic Lateral 0 New
Water Service
1 Copper Lateral 1 New
Valuation $2,200.00 Plan Approval $0.00 Permit Fees $40.00
Issued By s?/t ---".- Date 05/02/2000
Ei 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 1719 PARKWOOD DR OSHKOSH WI 54904 -0000 Telephone Number 414-426-0256,235-4