HomeMy WebLinkAbout0084022-Plumbing (laterals)
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OSHKOSH
ON THE WATER
Job Address 2440 HICKORY LN
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner FLORENCE E PETERSEN
Contractor SAMMONS PLUMBING
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 Flr/Wst 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
INSTALL CITY SEW & WTR
No 84022
Create Date 01/12/2001
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext GrElase Trap
Type
Conn. Type
Size
#
Material
Sanitary Sewer
4
Plastic
Lateral
New
Storm Sewer
Water Service
Copper
Lateral
New
Valuation
$3,000.00
$0.00
Permit Fees
$50.00
Plan Approval
Issued By ~
o Permit Voided I
Date 02/02/2001
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Address 522 W. MURDOCK AVE
AgenUOwner
OSHKOSH
WI 54901 - 0000
Telephone Number 414-231-9880
Date