HomeMy WebLinkAbout0052824-Plumbing (laterals) QD CITY OF OSHKOSH No 0052824
OSH' OSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 335 WINDINGBROOK DR Owner GEORGE AND RITA SCHULTZ Create Date 03/21/96
Contractor TOM'S COUNTRYSIDE PLBG Category 401 Residential- Exterior (laterals) Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst 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 OUTSIDE 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
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Valuation Permit Fees $30.00
Issued By Date 06/13/96
L Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1234 BRIGHAM WAY GENEVA IL 60134 0000 Telephone Number 708 426 -1544
Plumbing Permit Work Card
Job Address 335 WINDINGBROOK DR Permit Number 8900990--- 9 Y Create Date 03/21/96
Owner GEORGE AND RITA SCHULTZ Contractor TOM'S COUNTRYSIDE PLBG
Category 401 Residential Exterior (laterals) Plan Value $0.00
htub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ft,i Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIrIWst 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 Serilizer Surgeons Sink Ice Maker
Use/Nature
of Work NSF OUTSIDE PLBG
Size Material Type Conn.Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer 4 Plastic Lateral 1 New
..ater Service 1 Copper Lateral 1 New
Date Type Inspector u Approved
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