HomeMy WebLinkAbout0056033-Plumbing (laterals) CITY OF OSHKOSH No 0056033
OSH' OSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 70 ROLLING GREEN CIRCLE Owner CURTISS HOMES Create Date 09/25/96
Contractor FOX VALLEY 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
size Material Type # Conn. Type
Sanitary Sewer
TWN OF ALGO
Storm Sewer 4 Plastic Lateral 1 New
Water Service 1 Copper Lateral 1 New
Valuation $375.00 Plan Approval $0.00 Permit Fees $20.00
Issued By Date 12/09/96
U 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 0 - 0 Telephone Number