HomeMy WebLinkAbout0091767-Plumbing (laterals) CITY OF OSHKOSH No 91767
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1931 MINNESOTA ST Owner CLARENCE M SCHMIDT Create Date 12/11/2001
Contractor BERNDT 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 Flr/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 4" storm sewer lateral.
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer 4 inch Plastic Lateral 1 New
Water Service
Valuation $500.00 Plan Approval $0.00 Permit Fees $25.00
Issued By Date 12/11/2001
❑ Permit Voided
In the performance of this work, I agree t• , erform all work pursuant to - _..:,,.6 . - • - •e• construction.
Signature , / _, 0 .,, 4, dg"
1 • _ Date
/ . —// - 0 /
Agent/Owner
Address 2527 W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number 235 -3331