HomeMy WebLinkAbout0063017-Plumbing (laterals) 9 I CITY OF OSHKOSH No 0063017
OSH OSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 385 WINDINGBROOK DR Owner CURTISS HOMES Create Date 11/26/97
Contractor FOX VALLEY 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 Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest Fir/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 SEWER AND WATER LATERALS TO NEW CONSTRUCTION.
I I
size Material Type Conn. t ype
Sanitary Sewer 4" Plastic Lateral 1 New
Storm Sewer 4" Plastic Lateral 1 New
Water Service 1" Copper Lateral 1 New
Valuation $1,200.00 Plan Approval $0.00 Permit Fees $30.00
Issued By
Date 04/02/98
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 1719 PARKWOOD DR OSHKOSH WI 54904 0 Telephone Number 414- 426 -0256, 235-4