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0 CITY OF OSHKOSH No 96598
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2756 HAMILTON ST Owner THOMAS N RUSCH Create Date 07/17/2002
Contractor D.R. HANSEN PLBG. Category 401 - Residential-Exterior (laterals) 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
fsEWER AND WATER LATERALS NEW SFR
Size Material Type # Conn. Type
Sanitary Sewer 4" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 4" Plastic Lateral 1 New
0
0
0
0
Water Service 1" Copper Lateral 1 New
0
0
0
0
Valuation
$1,000.00
Plan Approval
$0.00
Permit Fees
$75.00
Issued By
Date 08/13/2002
U Permit VOided I
In the performance of this work, I agree to perform all Work pursuant to rules governing the described construction.
Signature
Date
Address 55 KNAPP ST
AgenUOwner
OSHKOSH
WI 54902 - 0000 Telephone Number 233-1595
----;--
Job Address 2756 HAMILTON ST
Owner THOMAS N RUSCH
Plumbing Permit Work Card
Permit Number 96598
Contractor D.R. HANSEN PLBG.
Create Date 07/17/2002
Category 401 - Residential-Exterior (laterals) Plan Value $1,000.00
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well a F Prep Sink a Gar Drain 0
- - - - - -
Whirlpool 0 Floor Drain a Water Softner 0 Drink Ftn 0 Serv Sink a Soda Disp a
- - - - - -
Lavatory 0 Lndry Tray 0 Local Waste a Wait. St. 0 Shamp Sink 0 Coffee Maker a
- - - - - -
Toilet 0 Lndry Stndp 0 Clothes Wshr a Ice Chest a FlrlWst Sink a Int Grease Trap a
- - - - - -
Res. Sink a Disposal 0 Bidet a Exam Sink 0 Catch Basin a Ext Grease Trap 0
- - - - -
Bar Sink 0 Dishwasher a Beer Tap a Sculry Sink a Wash Ftn a
- - - - -
Water Heater a Sump Pump a Dent. Oper. a Hand Sink a 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 a Ice Maker 0
Use/Nature IEWER AND WATER LATERALS NEW SFR
of Work
Size
Sanitary Sewer 4"
Material
Plastic
Type
Lateral
# Conn.Type
1 New
o
a
a
o
Storm Sewer 4"
Plastic
Lateral
1 New
o
o
o
o
Water Service
1"
Copper
Lateral
New
Date
Inspector
tie-
DatelTime requested:
Notice Type:
Telephone Number:
Access:
Ready Date/Time:
o Reinspect Fee 0 Fee Waived
Requested By:
D Reinspect Fee Paid