HomeMy WebLinkAbout0053927-Plumbing (laterals) CITY OF OSHKOSH
OSH OSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 841 MILLER LN Owner TOM NORQUIST
Contractor VEE SER PLUMBING & CONSTRUCTIO Category 401 -Residential-Exteri or (laterals)
Bathtub Shower Ejector/Grind Dip Well F Prep Sink
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
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
No 0053927
Create Date 07/25/96
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
ize a ena ype onn. ype
Sanitary Sewer 4 Plastic Lateral 1 New
Storm Sewer
Water Service 1 Copper Lateral 1 New
Valuation $1,100.00 Permit Fees $20.00
Issued By
ermi of e
Date 08/13/96
In the performance of this work, I agreee to perform all work pur/s/uant to rules governing the described construction.
Signature ~ r.L11~1 `/ ~O~/ ~ ~~1~~~jry~_~l~+,ir7~a~ Date ~'- /~ _ ~~
Agent/Owner l
Address 841 MILLER LN Oshkosh WI 54901 - 0000 Telephone Number 414-426-9430