HomeMy WebLinkAbout0099777-PlumbingOSHKOSH
ON THE WATER
Job Address 620 BROAD ST
Contractor DRUCKS PLUMBING
CITY OF~OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner HABITAT HUMANITY OSHKOSH INC
Category 410 - Residential-Interior
Bathtub I Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 Serv Sink 0
Lavatory I LndryTray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 1 LndryStndp I CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink I Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater I Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 1 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 99777
Create Date 12/31/2002
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature NSFR/ gas water heater
of Work
Valuation $3,000.00
,ss.e.
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
Conn. Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Plan Approval
$0.00 Permit Fees $48.00
[] Permit Voided
Date 02/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction,
Signature Date
Agent/Owner
Address PO BOX 355 MENASHA WI 54952 - 0000 Telephone Number
426-2654