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HomeMy WebLinkAbout0051436-Plumbing (laterals) (g) CITY OF OSHKOSH No 0051436 OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3189 BELLFIELD DR Owner RUSCH HOMES Create Date 04/01/96 Contractor HANNA 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 NSF OUTSIDE PLBG 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 $1,500.00 Permit Fees $30.00 Issued By Date 04/01/96 Li Permit Voided In the perform- this work, I agree to perfor all work pursuant to rules governing the described construction. Signature Air Date Agent/Owner �� -- Address 2760 WESTMOOR RD Oshkosh WI 54904 - 0000 Telephone Number