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HomeMy WebLinkAbout0052014-Plumbing (laterals) CITY OF OSHKOSH No 0052014 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3203 MARSH CREEK RD Owner RUSCH HOMES Create Date 05/02/96 Contractor HANNA EXCAVATING Category 401 -Residential-Exterior (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 Flr/VVst 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 NSF OTS PLBG Size Material Type # Conn. Type Sanitary Sewer 4 Plastic Lateral 1 New Storm Sewer 4 Plastic Lateral 1 New Water Service 1 Copper Lateral 1 New Valuation $1,500.00 Issued By Permit Fees $30.00 Permit Voided Date 05/02/96 In the pertormance of this work, I agree to pertorm all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address Oshkosh WI 54901 - 0000 Telephone Number