HomeMy WebLinkAbout0056672-Plumbing (laterals) CITY OF OSHKOSH No 0056672
OSH' OSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 404 WINDINGBROOK DR Owner ANDREW HOMES INC Create Date 01/30/97
Contractor VAN HANDEL, TOM CORP 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 NSF
size Material Type 5 Conn. Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
4 Plastic Lateral 1 New
Water Service
1 Copper Lateral 1 New
Valuation $1,000.00 Permit Fees $30.00
Issued By Date 02/03/97
IJ 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 E. EDGEWOOD DR APPLETON WI 54915 8987 Telephone Number 414 735 -1221