HomeMy WebLinkAbout0047691-Plumbing (laterals) CITY OF OSHKOSH N° 4 7 691
P ERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG,SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS 0 Al PLAN NO.
OWNER
DESIGNER �J�('
i____
USE /NATURE OF WORK r 0
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 C
Lav Sh DW V DF San. Sewer f C
WC FDr _SP Ur _L Storm Sewer t 7 4 (v C
Sink LTub Eject SS Water 1 Ce,„—
Other
FEES: Valuation t 0 6 Permit Fee Paid Q 3.-e1 Park Dedication
ISSUED BY Date /C3 ^A2 Final /O.P
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE y`'" /o2- S�
U
4)` AGENT /OWNER DATE
ADDRESS
9,5-)i /f 4 e is a35 C75
TELEPHONE
Plumbing Permit Work Card
Job Address 1470 WHEATFIELD WAY Permit Number =89®9991F 7 4
76 9/ Create Date 10/12/95
Owner RUSCH Contractor HANNA EXCAVATING
ategory 401 Residential Exterior (laterals) Plan Value $1,500.00
.thtub Shower Ejector /Grind Dip Well F Prep Sink Grease Trap
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Receptor
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Other
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap /Soda Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Use/Nature
of Work
NSF OUTSIDE PLUMBING
Size Material Type Conn.Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
4 Plastic Lateral 1 New
...ter Service
1 Copper Lateral 1 New
Date Type Inspector u Approved
s/4/ sT fa -r)- -1