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HomeMy WebLinkAbout0099231-Plumbing (repair sanitary sewer lateral) GPN'��O � " CITY OF OSHKOSH No 99231 y y��5'� OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD DA�`� ON THE WATER Job Address 1005 E NEW YORK AVE Owner HOWARD C M JONES/GABRIELE EHRES Create Date 12/30/2002 Contractor SAMMONS PLUMBING 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 Softner 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 Lndry 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 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 REPAIR SAN SEW LATERAL Size Material Type # Conn.Type Sanitary Sewer 0 0 4 Iron Lateral 1 Repaii 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $25.00 Issued By Date 12/30/2002 � Permit Voided� In the performance of this work,I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 522 W. MURDOCK AVE OSHKOSH WI 54901 -2298 Telephone Number 231-9880 • Plumbing Permit Work Card Job Address 1005 E NEW YORK AVE Permit Number 99231 Create Date 12/30/2002 Owner HOWARD C M JONES/GABRIELE EHRES Contractor SAMMONS PLUMBING Category 401 -Residential-Exterior(laterals) Plan Value $1,000.00 Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Fioor Drain 0 Water Softner 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 i 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 � 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 � Plaster Sink 0 Standp Rec 0 Roof Drain � Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work REPAIR SAN SEW LATERAL Size Material Type # Conn.Type Sanitary Sewer 0 0 4 Iron Lateral 1 Repair 0 0 Storm Sewer 0 � � • 0 0 , � 0 0 Water Service 0 0 0 0 0 Date Type Inspector / V � � � DatelTime requested: Notice Type: Telephone Number: Access: Ready DatelTime: Requested By: � Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid --------------------------------------------------------------------------------------------------------- ,