HomeMy WebLinkAbout0068297-Plumbing (laterals) QD CITY OF OSHKOSH No 0068297
OSH r OSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 454 WINDINGBROOK DR Owner ROBERT TOSIC Create Date 01/22/99
Contractor WAYNE VAN HANDEL TRUCKING EX 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 1 rr 1 0 n If. -1. 1.. 1 1
of Work
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 $2,000.00 Plan Approval $0.00 Permit Fees $30.00
Issued By Date 01/22/99
Permit Voided
In the per o f th' work, I agree to perf all work pursuant to rules goveming the described construction.
Signatur Vie; Date J P,
Agent/Owner
Address W -2695 GREINER RD APPLETON WI 54915 0 Telephone Number 414- 735 -0722