HomeMy WebLinkAbout0065017-Plumbing (laterals) CITY OF OSHKOSH No 0065017
OSH' OSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 165 ROLLING GREEN CIR Owner CONTEMPORARY HOMES Create Date 07/08/98
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 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
4 Plastic Lateral 1 New
Storm Sewer
4 Plastic Lateral 1 New
Water Service
1 Copper Lateral 1 New
Valuation $1,500.00 Plan Approval $0.00 Permit Fees $30.00
Issued By Date 07/09/98
U Permit Voided
In the performan of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
V2.9.—Q----- Date 7 _ 9 - j fP
Agent/Owner
Address 1570 N OAKWOOD OSHKOSH WI 54904 - 0 Telephone Number 233 -2551