HomeMy WebLinkAbout0072908-Plumbing (laterals)/~ CITY OF OSHKOSH No 0o729os
OSHKOSH PLUMBING PE RMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1870 STILLMAN DR Owner CHARLES H DYSON/G GRD TRUST Create Date 09/01/99
Contractor IMM EL, ROBT J EXCAVATING INC Category 430 -Industrial-Exterior (laterals) Plan G4-35-0899-P
Bathtub Shower EjectoNGrind 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
FIr1Wst Sink _
Int Grease Trap
Res. Sink
Disposal
Bidet
Exam Sink
Catch Basin 1 _
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
8 Plastic Lateral 1 New
Water Service
8 Plastic Lateral 1 New
Valuation $15,000.00 Plan Approval $0.00 Permit Fees $34.00
Issued By Date 09/15/99
ermi of e
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address N 1798 MUNICIPAL DR GREENVILLE WI 54942 - 0000 Telephone Number 414-757-5906
NEW FACTORY/OUTSIDE PLBG