HomeMy WebLinkAbout0095323-Plumbing (laterals) CITY OF OSHKOSH No 95323
OSHKOSH PLU MBING PE RMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 131 5 JUDY LEE CT Owner THOMAS N RUSCH Create Date 06/20/2002
Contractor FOX VALLEY EXCAVATING Category 401 -Residential-Exte rior (laterals) P lan
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 Flr/Wst 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
NSFR
Size Material Type # Conn. Type
Sanitary Sewer 0
0
4 Plastic Lateral 1 New
0
0
Storm Sewer 0
0
4 Plastic Lateral 1 New
0
0
Water Service 0
0
1 Copper Lateral 1 New
0
0
Valuation $1,100.00 Plan Approval $0.00 Permit Fees $75.00
Issued By Date 06/20/2002
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1719 PARKWOOD DR OSHKOSH WI 54904 - 0000 Telephone Number 414-426-0256, 235-4