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HomeMy WebLinkAbout0044201-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD f: CJ 2- N~ 44201 ~ TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - DESIGNER ADDRESS OWNER BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S .j. ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH ::r /~~ _WC _Sh _FDr _ L Tub _Disp _DW _SP _ Eject _ WSoft _DF _ CB~sin i san.~ewer _ Storm Sewer -l- Water c ;Y rV'~ _Lav _Ur 'S/VL _Sink Other _SS /OOC) Co c FEES: Valuation $ .. Permit Fee Paid $ ISSUED BY ~------ Date I / ;,;2. 6) C €) ~ ... Park Dedication $ y-;:L ~/?5 Final/D.P. . / ce f this work I agree to perform all work pursuant to rules governing the described construction. It JJ~ ILl 4$"'( 4~O;ER CYSi/;kOL tJ ~ .J v;k2-93 DATE ADDRESS O13S-Cf/S-U TELEPHONE # .. Owner Job Address 1929 ARIZONA ST STEVEN L HEMMINGHAUS Category Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Use/Nature of Work Sanitary Sewer 4 Storm Sewer Water Service Date Plumbing Permit Work Card Permit Number 0000000 ContractQr .H.ANNA. E~CA VAllNG 402 - Residential-Exterior (other) Shower Floor Drain Lndry Tray Lndry Stndp Disposal Dishwasher Sump Pump Ejector/Grind Water Softne.r Local Waste Clothes Wshr Bidet B~er Tap/Soda Dent. Oper. Plan DiPW~11 . Drink Ftn Wait. St. Ice Chest Exam Sink Sculry Sink Hand Sink F Prep Sink Serv Sink SharnPSink FlrlWst Sink Catch Basin Wash Ftn Urinal Create Date 03/22/95 Value $1,000.00 ype Relay Copper Lateral Relay U Approved Grease Trap Receptor Other NSF OUTSIDE PLUMBING CONNECT TO EXISTING LATERALS (4" C.!. SANITARY SEWER AND 3/4" COPPER) Ize 3/4 Type Inspector o~s~ on the water Job Address 1929 ARIZONA ST Contractor Bathtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater L.- CITY OF OSHKOSH No 0000345 PLUMBING PERMIT - APPLICATION AND RECORD Owner STEVEN L HEMMINGHAUS Create Date 03/22/95 HANNA EXCAVATING Category 402 - Residential-Exterior (other) Plan Shower Floor Drain Lndry Tray Lndry Stndp Disposal Dishwasher Sump Pump Ejector/Grind Dip Well F Prep Sink Water Softner Drink Ftn Serv Sink Local Waste Wait. St. Shamp Sink Clothes Wshr Ice Chest FlrlWst Sink Bidet Exam Sink Catch Basin Beer Tap/Soda Sculry Sink Wash Ftn Dent. Oper. Hand Sink Urinal Grease Trap Receptor Other Use/Nature of Work NSF OUTSIDE PLUMBING CONNECT TO EXISTING LATERALS (4" C.!. SANITARY SEWER AND 3/4" COPPER) Valuation Issued By Sanitary Sewer Storm Sewer Water Service $1,000.00 Ize ype 4 Plastic Relay 3/4 Copper Lateral Relay Permit Fees $20.00 Date DO/DO/DO Signature In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Date Address 1810 CRESTVIEW DR Agent/Owner OSHKOSH WI 54904 - 8206 Telephone Number o~s~ ",..ill ~ Name STEVEN L HEMMINGHAUS Address 1810 CRESTVIEW DR OSHKOSH Permit Number WI on the water Plumbing Permit (242900) $0.00 $0.00 $20:00 $0.00 $0.00 $2o,00i Amount Received Plan Plan Approval Fee. . . .. .~ :," .. .. Early Start Fee. . . . . . . . . . . . . . . . . . . Connection Fee. . . . . . . . . . . . . . . . . . Fixture Fee. . . . . . . . . . . . . . . . . . . . . . Re-inspection Fee. . . . . . . . . . . . . . . . Check # Fee Total Cash Received By Date 54904 - 8206 0000345 Date