HomeMy WebLinkAbout0099862 POSHKOSH
ON THE WATER
Job Address 65 JACOB AVE
Contractor FOX VALLEY EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner GARRY H DECKER & CO LLC
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 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
No 99862
Create Date 02/18/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
NSFR
Sanitary Sewer
Size Material Type #
4 Plastic Lateral
Storm Sewer
Water Service
Plastic Lateral
Copper Lateral
Conn. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
Valuation $1,100.00 Plan Approval $0.00 Permit Fees $75.00
Issued By
Date 02/18/2003
~-- 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 1719 PARKWOOD DR OSHKOSH WI 54904 - 0000 Telephone Number
414-426-0256, 235-4