HomeMy WebLinkAbout0054728-Plumbing (laterals)
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OS~SH
ON THE WATER
Job Address 1747 HUNTERS GLEN DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
GIBSON
Contractor FOX VALLEY EXCAVATING Category 401 - Residential-Exterior (laterals)
Bathtub Shower Ejector/Grind Dip Well F Prep Sink
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink
Lavatory Lndry Tray Local. Waste Wait. St. Shamp Sink
Toilet Lndry Stndp Clothes Wshr Ice Chest FlrlWst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
~
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work NSF
Ize
Sanitary Sewer
4
Plastic
Lateral
New
Storm Sewer
Plastic
Laterfll
New
4
Water Service
Copper
Lateral
New
Valuation
$890.00
$30.00
Permit Fees
Issued By
U Permit \/OiCleCfj
No 0054728
Create Date 09/04/96
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
ype
Date 09/25/96
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
I
Signature
Address 3017 ROSEWOOD LAND
Agent/Owner
Oshkosh
,
--
WI 54904 - 0000
Telephone Number
Date