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HomeMy WebLinkAbout0047237-Plumbing (laterals) ~" CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD f(DI N!r - 47237 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E~ _ ~ _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS ~ 3 43 t-\ox tor ~o..~ ~. OWNER C,RX,i+\- eoa ~ E$~, PLAN NO. DESIGNER USE/NATURE OF WORK ps r / Duisick ? LlUflJ h /rz:J I BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR Pot Va LleH r)t~ f11.Lftt/ Y}j _ Disp _ WSoft _BT _WH _Sh _FDr _ L Tub _DW _SP _DF _ CBasin , -L San. Sewer L/J P!t)SlicG _Lav _WC _Ur _ Storm Sewer -1- waterJf ~ (!(),Op-er _Sink Other _ Eject _SS /' ./' FEES: Valua"on $ ;;; '4~ ~ Fee Paid $ 620 ISSUED BY 6- Date 9-(9-'i'S'- Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (j? ~-" tp~/;?5 or ADDRESS TELEPHONE # PIUmb;:r~:::::,:~~~~^~^::d ~'r~ \ ., ~' ~-"~.,,,,, Contractor FOX VALLEY EXCAVATING .f'.,.., Job Addre.!!~ 3343 HARBOR BAY RD Create Date 09/19/95 Owner GERRITT REAL ESTATE ~tegory ...thtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater Use/Nature of Work 401 - Residential-Exterior (laterals) Plan Shower Ejector/Grind Dip Well Floor Drain Water Softner Drink Ftn Lndry Tray Local Waste Wait. St. Lndry Stndp Clothes Wshr Ice Chest Disposal Bidet Exam Sink Dishwasher Beer Tap/Soda Sculry Sink Sump Pump Dent. Oper. Hand Sink Value $2,200.00 F Prep Sink Serv Sink Shamp Sink Flr/Wst Sink Catch Basin Wash Ftn Urinal Grease Trap Receptor Other NSF OUTSIDE PLUMBING Sanitary Sewer Storm Sewer ....ter Service Size Material Type # Conn.Type 4 Plastic Lateral New Copper Lateral New Date ~. Type U Approved Inspector 1-s--~9~ d-~~~ .~~~.~ " S; /ft 9 -J- ~