HomeMy WebLinkAbout0074936-Plumbing (laterals) CITY OF OSHKOSH No 0o7493s
OSHKOSH PLUMBING PE RMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 805-815 KEENVILLE LA Owner CLASSIC HOMES BY KUBA Create Date 12/03/1999
Contractor BERNDT EXCAVATING Category 401 -Residential-Exteri or (laterals) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrIWst Sink Int Grease Trap
Res. Sink Disposal Bidet ' Exam Sink Catch Basin Ext Grease Trap
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
Size Material Type # Conn. Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
Water Service
1 Copper Lateral 1 New
NEW DUPLEX
Valuation $1,000.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 12/30/1999
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number 235-3331 (CAR) 213•