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HomeMy WebLinkAbout0099340-Plumbing (laterals)CITY OF OSHKOSH 99340 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address3214 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 61 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 Plumbing Permit Work Card J ob Address 3214 BELLFIELD DR Permit Number 99340 Create Date 01/06/2003 Owner THOMAS N RUSCH /R L GABERT Contractor HANNA EXCAVATING `egory 401 - Residential- Exterior (laterals) Plan Value $2,500.00 ..athtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/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 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm 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 LOT 61 Size Material Type # Conn.Type Sanitary Sewer 0 0 .. _ 5 / #1,5-7- 1//s/0 3 4 Plastic Lateral 1 New 0 0 Storm Sewer 0 0 4 Plastic Lateral 1 New 0 0 Water Service 0 0 1 Copper Lateral 1 New 0 0 Date Type Inspector 1 Date/Time requested: Notice Type: Telephone Number: P Access: Ready Date/Time: Requested By: 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid