HomeMy WebLinkAbout0099338-Plumbing (laterals)CITY OF OSHKOSH
99338
No
OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address3222 BELLFIELD DROwnerTHOMAS N RUSCH/R L GABERTCreate Date01/06/2003
ContractorHANNA EXCAVATINGCategoryPlan
401 - Residential-Exterior (laterals)
Bathtub0Shower0Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0
Whirlpool0Floor Drain0Water Softner0Drink Ftn0Serv Sink00
Soda Disp
Lavatory00Local Waste0Wait. St.0Shamp Sink00
Lndry TrayCoffee Maker
Toilet00Clothes Wshr0Ice Chest0Flr/Wst Sink0
0
Lndry Stndp
Int Grease Trap
Res. Sink00Bidet0Exam Sink0Catch Basin0
Disposal0
Ext Grease Trap
Bar Sink000Wash Ftn0
Beer Tap0Sculry Sink
Dishwasher
Water Heater000Urinal0
Sump PumpDent. Oper.0Hand Sink
Site Drain000Standp Rec0
Classrm SinkLab Sink0Plaster Sink
Roof Drain000Ice Maker0
Breakrm SinkSterilizer0Surgeons Sink
Use/Nature
of Work
NSFR LOT 59
SizeMaterialType#Conn. Type
Sanitary Sewer0
0
4PlasticLateral1New
0
0
Storm Sewer0
0
4PlasticLateral1New
0
0
Water Service0
0
1CopperLateral1New
0
0
$0.00
Valuation$2,500.00Plan ApprovalPermit Fees$75.00
Issued ByDate01/07/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
Agent/Owner
Address3954 W FISK AVEOSHKOSHWI54901-0000Telephone Number235-6450