HomeMy WebLinkAbout2001-Plumbing (laterals) � CITY OF OSHKOSH No so�ss
OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
. Job Address 3850 WOOD DUCK CT Owner Create Date 10/25/2001
� Contrector FOX VALLEY EXCAVATING Category 401 -Residential-Exterior(laterals) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drein 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 Sculry Sink Wash Ftn
Water Heater Sump Pump Dent.Oper. Hand Sink Urinal
Site Drein Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature �
of Work i
Size Material Type # Conn.7ype �
Sanitary Sewer 4" Plastic Lateral � New
Storm Sewer 4" Plastic Lateral 1 New
Water Service 1" Copper Laterel 1 New
Valuation $1,100.00 PlanApproval $0.00 PermitFees $75.00
Issued By Date 10/25/2001
ermi oi e
In the performan of this work,I agree to perform all work pursuant to rules governing the described wnstruction.
Signature ������,���� Date �C 7S Q l
� Agent/Owner
Address 1719 PARKWOOD DR OSHKOSH WI 54904 -0000 Telephone Number 4'14-426-0256,235-4