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0102917-Plumbing (laterals)
OSHKOSH ON THE WATER Job Address 3209 BELLFIELD DR Contractor HANNA EXCAVATING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 102917 Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 07/17/2003 Category 401 - Residential-Exterior (laterals) Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 !..ndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Claesrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work NSFR Sanitary Sewer Storm Sewer 4 Water Service 1 Size Material Type 4 Plastic Lateral Plastic Lateral Copper Lateral Corm. Type 0 0 I New 0 0 0 0 1 New 0 0 0 0 I New 0 0 Valuation $2,500.00 Plan Approval $0.00 Permit Fees $75.00 Issued By Date 07/17/2003 [] Permit Voided In the performance~is work, ~ agree to perfor~all_/~ork pursuant to rules goveming the described construction. Signature ,~¢.~./¢¢~%~' /~~ Date Address 278~IL~GE~N Aog;~FKOowsnHer WI 54904 -0000 TelephoneNumber 235-6450