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HomeMy WebLinkAbout0046739-Plumbing (laterals) CITY OF OSHKOSH N ° - 4673 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1 0 S r _ Z, / PLAN NO. OWNER D -- r ' d ESIGNER /j� USE/NATURE OF WORK / '� ( 0 / r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR / �J 7 BT _ WH _ Disp _ WSoft — CBasin C_ Lav _ Sh _ DW _ _ C r __ DF t San. Sewer � — WC _ FDr SP Ur t Storm Sewer C " e — Sink _ LTub _ Eject — SS _ . Water ( Other 4./ FEES: Valuation $ ©` u Permit Fee Paid $ 3 ' Q Park Dedication $ ISSUED BY _ Date —/' 2- Final/O.P. FinaUO.P. In the performance . this ork I :e to perform Il pursu t to rules governing the described construction. 4 SIGNATURE ` Or /e`h 8, _ 1,--,7,-- AGENT /OWNER DATE ADDRESS TELEPHONE # Plumbing Permit Work Card Job Address 1055 LAAGER LN Permit Number cant" ‘7,;Y Create Date 08/15/95 Owner LEGACY HOMES Contractor VAN HANDEL, TOM CO. ' tegory 401 - Residential - Exterior (laterals) Plan Value $850.00 .chtub Shower Ejector /Grind Dip Well F Prep Sink Grease Trap Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Receptor Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Other Toilet Lndry Stndp Clothes Wshr Ice Chest Flr/Wst Sink Res. Sink Disposal Bidet Exam Sink Catch Basin Bar Sink Dishwasher Beer Tap /Soda Sculry Sink Wash Ftn Water Heater Sump Pump Dent. Oper. Hand Sink Urinal Use /Nature of Work NSF OUTSIDE PLUMBING Size Material Type # Conn.Type Sanitary Sewer 4 Plastic Lateral 1 New Storm Sewer 4 Plastic Lateral 1 New . _,cer Service 1 Copper Lateral 1 New Date Type Inspector u Approved S/R/c7" -- /4 - ,',S,-