HomeMy WebLinkAbout0102919-Plumbing (laterals)OSHKOSH
ON THE WATER
Job Addrass 3219 BELLFIELD DR
Contractor HANNA EXCAVATING
CITY OF OSHKOSH No 102919
PLUMBING PERMIT -APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 07/17/2003
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
Category 401 - Residential-Exterior (laterals) Plan
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain
0 WaterSoffner 0 DrinkFtn 0 ServSink 0 Soda Disp
0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker
0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap
0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap __
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
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
Conn. Type
0
0
1 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 pedormagce, of this work, I agree to perform all work pumuant to rules governing the described construction.
~// AgentJOwner
Address 2781 VILLAGE LN OSHKOSH WI 54904 - 0000 Telephone Number
235-6450