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HomeMy WebLinkAbout0097303-Plumbing (laterals) (./.D„ CITY OF OSHKOSH No 97303 OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD ON THE WATER Job Address 494 WINDINGBROOK DR Owner JAMES R/BILLIE J MATHUSEK Create Date 09/16/2002 Contractor AHERN -GROSS INC. Category 401 Residential- Exterior (laterals) Plan Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use /Nature of Work NSFR Size Material Type Conn. Type Sanitary Sewer 0 0 4 Plastic Lateral 1 New 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 1.25 Plastic Lateral 1 New 0 0 Valuation $2,000.00 Plan Approval $0.00 Permit Fees $50.00 Issued By K, Y Date 09/16/2002 El Permit Voided In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 218 S MAIN ST FOND DU LAC WI 54935 0000 Telephone Number 920 921 -1414 Plumbing Permit Work Card J ob Address 494 WINDINGBROOK DR Permit Number 97303 Create Date 09/16/2002 Owner JAMES R/BILLIE J MATHUSEK Contractor AHERN -GROSS INC. egory 401 Residential- Exterior (laterals) Plan Value $2,000.00 bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use /Nature of Work NSFR Size Material Type Conn.Type Sanitary Sewer 0 0 4 Plastic Lateral 1 New 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 1.25 Plastic Lateral 1 New 0 0 Date Type Inspector Vi S/ Y/// Q Date/Time requested: Notice Type: Telephone Number: Access: Ready Date/Time: Requested By: 0 Reinspect Fee 0 Fee Waived Reinspect Fee Paid