HomeMy WebLinkAbout0050213-Plumbing (laterals) 1 CITY OF OSHKOSH No 0050213
OSHKOSH I� , 1 PLUMBING PERMIT - APPLICATION AND RECORD
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O THE WATER `
Job Address 3184 Sat/Tr#-PCN Imp CT Owner RUSCH Create Date 12/18/95
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 12/18/95
Li Permit Voided
In the performa of this work, I agree to perf rm all work pursuant to rules governing the described construction.
Signature ,,e„. / Date
Air Agent/Owner
Address T9' ai // Oshkosh WI 54901 - 0000 Telephone Number