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0097536-Plumbing (laterals)
e OSHKOSH ON THE WATER Job Address 2790 HAMILTON ST CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD No 97536 Owner CREATIVE CUSTOM HOMES & DEVELOP INC Create Date 09/25/2002 Plan Category 401 - Residential-Exterior (laterals) Contractor D.R. HANSEN PLBG. 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 INSTALL SEWER AND WATER LATERALS FOR NEW SFR Size Material Plastic Type Lateral Sanitary Sewer 4" Storm Sewer 4" Plastic Lateral Water Service 1" Copper Lateral # Conn. Type 1 New 0 0 0 0 1 New 0 0 0 0 1 New 0 0 0 0 $75.00 Date 09/25/2002 Valuation $1,200.00 Plan Approval $0.00 Permit Fees Issued By U Permit VOided I In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Agent/Owner OSHKOSH Date Address 55 KNAPP ST WI 54902 - 0000 Telephone Number 233-1595