HomeMy WebLinkAbout0096498 P
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OSHKOSH
ON THE WATER
Job Address 2371 2375 PATRIOT LN
Contractor LAUDOLFF EXCAVATING & SEPTIC SERVICE
CITY OrbSHKOSH
No 96498
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
Create Date 08/09/2002
Category 401 - Residential-Exterior (iaterals)
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 FlrlWst 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 S~ulry 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 IINSTALL WATER SERVICE AND STORM SEWER LATERALS;
of Work
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 4" Plastic Lateral New
Water Service
1.5"
Plastic
Lateral
New
Valuation
$500.00
Plan Approval
$0.00
Permit Fees
$50.00
Issued By
Date 08/09/2002
Q"Pemií~
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Address N3438 MAPLE LN
Agent/Owner
FOND DU LAC
WI 54935 - 0000 Telephone Number 923-0473