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0097338-Plumbing (laterals)
'." e,. OSHKOSH 11 ON THE WATER Job Address 2250 HICKORY CT CITY OF OSHKOSH No 97338 PLUMBING PERMIT - APPLICATION AND RECORD Owner GARY UREBECCA A GALlCA Category 401 - Residential-Exterior (laterals) Contractor BERNDT EXCAVATING Create Date 09/17/2002 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 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 NSFR Size Material Type Sanitary Sewer 4 Plastic Lateral Storm Sewer 4 Plastic Lateral Water Service Copper Lateral # Conn. Type 0 0 1 New 0 0 0 0 1 New 0 0 0 0 1 New 0 0 $75.00 Date 09/17/2002 Valuation $1,500.00 Issued B~ $0.00 Permit Fees Plan Approval D Permit Voided I In. the performance.: of this W~k~ag~.perf~ all, WO'~_~~~~~les governing the des.cribed construction. Signature .5>j~ LL..c ~ Date -.... Agent/Owner 7 - r? rQJ1-_ Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - OOQO Telephone Number 235-3331