HomeMy WebLinkAbout0099604 POSHKOSH
ON THE WATER
,Job Address 1390 JUDY LEE DR
Contractor FOX VALLEY EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 99604
Create Date 01/28/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NSFR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
4 Plastic Lateral
4 Plastic Lateral
1 Copper Lateral
$950.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
$75.00
Date 01/28/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1719 PARKWOOD DR OSHKOSH WI 54904 - 0000 Telephone Number
414-426-0256, 235-4;
OSHKOSH ¢
ON THE WATER
Job Address 1390 JUDY LEE
Contractor FOX VALLEY EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner THOMAS N RUSCH
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 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
No 99604
Create Date 01/28/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap __
Use/Nature
of Work
NSFR
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
4 Plastic
Lateral
4 Plastic Lateral
Copper Lateral
Conn. Type
0
0
1 New
0
0
0
0
I New
0
0
0
0
1 New
0
0
Valuation $950.00 Plan Approval $0.00 Permit Fees $75.00
Issued By
Date 01/28/2003
[] Permit Voided ]
In the performance of this work, I agree to perform all work pursuant to roles governing the described construction.
Signature Date
Agent/Owner
Address 1719 PARKWOOD DR OSHKOSH WI 54904 - 0000 Telephone Number
414-426-0256, 235-4