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HomeMy WebLinkAbout0065421-Plumbing (laterals) CITY OF OSHKOSH No 0065421 OSH'OSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 150 ROLLING GREEN CIR Owner CONTEMPORARY HOMES Create Date 07/27/98 Contractor ADAMS PLUMBING 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 FIrIWst 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 STORM SEWER AND WATER LATERALS TO BUILDING of Work Size Material irype # Conn. Type Sanitary Sewer Storm Sewer 4" Plastic Lateral 1 New Water Service 1" Copper Lateral 1 New Valuation $1,500.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 07/27/98 u 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 1570 N OAKWOOD OSHKOSH WI 54904 - 0 Telephone Number 233 -2551