HomeMy WebLinkAbout0082800-Plumbing (relay wtr service)
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OSHKOSH
ON THE WATER
Job Address 143 IDAHO ST
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
DALE E & DEBRA RENDERMAN
Contractor
DR HANSEN PLBG.
Category 401 - Residential-Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Shower
Floor Drain
lndry Tray
lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Gri nd 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 Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
No 0082800
Create Date 10/12/2000
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
Valuation
Issued By /
RELAY WTR SERV
Sanitary Sewer
Storm Sewer
Water Service
Size
Type
..
Conn. Type
$1,000.00
Material
#
Date 11/08/2000
Lateral
Relay
Plan Approval
$0.00
Permit Fees
$25.00
o Permit Voided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Address 680 W 3RD AVE
Agent/Owner
OSHKOSH
Date
WI 54902 - 0000
Telephone Number 233-1595