HomeMy WebLinkAbout0100657 POSHKOSH
ON THE WATER
.lob Address 1145 PHEASANT CREEK DR
Contractor HANNA EXCAVATING
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Lndry Stndp
Res. Sink 0 Disposal
Bar Sink 0 Dishwasher
Water Heater 0 Sump Pump
Site Drain 0 Classrm Sink
Roof Drain 0 Breakrm Sink
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES
Category 401 - Residential-Exterior (laterals)
0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0
0 WaterSoftner 0 Drink Ftn 0 ServSink 0
0 Local Waste 0 Wait. St. 0 ShampSink 0
0 CIothesWshr 0 Ice Chest 0 FIr/I/Vst Sink 0
0 Bidet 0 Exam Sink 0 Catch Basin 0
0 Beer Tap 0 SculrySink 0 Wash Ftn 0
0 Dent. Oper. 0 Hand Sink 0 Urinal 0
0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100657
Create Date 04/07/2003
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work Sewer and water laterals for new SFR
Valuation
Issued By
Size
Sanitary Sewer 4"
Storm Sewer 4"
Water Service 1"
Material Type
Plastic Lateral
Plastic Lateral
Copper Lateral
$2,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
0
0
$75.00
Date
04/07/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2781 VILLAGE LN OSHKOSH WI 54904 - 0000 Telephone Number
235-6450
OSHKOSH
ON THE WATER
Job Address 1145 PHEASANT CREEK DR
Contractor HANNA EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner RUSCH HOMES
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0
Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
No 100657
Create Date 04/07/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work Sewer and water laterals for new SFR
Size Material Type #
Sanitary Sewer 4" Plastic Lateral
Storm Sewer 4" Plastic Lateral
Water Service 1" Copper Lateral
Conn. Type
New
New
New
Valuation $2,500.00 Plan Approval $0.00 PermitFees $75.00
Issued By
Date 04/07/2003
[] Permit Voided
In the performance~3this work, I agree to pe~9~m all .wor~ pursuant to rules governing the described construction.
Signature~ /~-~~ I /~/~.-~' ~ Agent/Owner Date
Address 2781 VILLAGE LN OSHKOSH WI 54904 - 0000 Telephone Number
235-6450