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HomeMy WebLinkAbout0047693-Plumbing (laterals)~~f ~. , /'li CITY OF OSHKOSH N°- ~7~93 `' PERMIT ~ APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG j~ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS ~ ~~- ~_ PLAN NO. OWNER DESIGN USE/NATURE OF WORK 6 ~.~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~~ ~~~~~`- BT _ WH _ Disp _ WSoft _ CBasin - Lav _ Sh - DW _ DF ~ San. Sewer ~C - WC _ FDr _ SP _ Ur ~ Storm Sewer /~ ~C -Sink _ LTub -Eject _ SS ~ Water_ t Other FEES: Valuation $ ~ ~~ 6 ~° Permit Fee Paid $ ~ ~ ` L1a Park Dedication $ ISSUED BY_~ ~/ Date ~d '~~ '-"~S FinaVO.P. In the performan of this work I agree to perform all work pursuant to rules governing the described construction. '~ SIGNATURE ~~~/~ - ~~ /~ /AGENT/OWNER ADDRES ~7 s~ ~ ~~Gy/~ ~j ~ ~~l~~~~ oATe ~~.5 ~ ~~ TELEPHONE ~ Job Address 1295 TIMOTHY TRL Owner RUSCH "~*tegory 401 -Residential-Exterior (laterals) _.,thtub Shower Whirlpool Floor Drain Lavatory Lndry Tray Toilet Lndry Stndp Res. Sink Disposal Bar Sink Dishwasher Water Heater Sump Pump Use/Nature of Work NSF OUTSIDE PLUMBING Size Sanitary Sewer 4 Storm Sewer 4 ..ater Service 1 Date Type Material Type # Conn.Type Plastic Lateral ~ 1 New ~I Plastic Lateral II~'~, 1 New I i Copper Lateral 1 New Plumbing Permit Work Card Permit Number ~99996Q ~7~~~~ Contractor HANNA EXCAVPTING Create Date 10/13/95 '~ Plan Value $1,500.00 Ejector/Grind i Dip Well F Prep Sink Grease Trap Water Softner Drink Ftn Serv Sink Receptor Local Waste ' Wait. St. Shamp Sink Other Clothes Wshr Ice Chest Flr/V11st Sink Bidet Exam Sink Catch Basin Beer Tap/Soda ' Sculry Slnk Wash Ftn Dent. Oper. ', Hand Slnk Urinal Inspector 'i Approved