HomeMy WebLinkAbout0076171- Plumbing (Extra Fixtures to 75183) #14- CITY OF OSHKOSH No 0076171
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 912 N LARK Owner RAYMOND/BARBARA J. FORES REV L Create Date 03/17/2000
Contractor HANSON QUALITY PLUMBING Category 410-Residential-Interior 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 0 Local Waste Wait.St. Shamp Sink Coffee Maker
Toilet Lndry Stndp 1 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 Sculry 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
XTRA FXTS TO PERMIT 75183
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $350.00 Plan Approval __ $0.00 Permit Fees $10.00
Issued By 3 b ----- Date 04/03/2000
0 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 550 N BLUEMOUND RD APPLETON WI 54915 -0000 Telephone Number 730-0205