HomeMy WebLinkAbout0101076-Plumbing (laterals)OSHKOSH
ON THE WATER
JobAddress 3229 BELLFIELD DR
Contractor HANNA EXCAVATING
CITY OF OSHKOSH
PLUMBING PERMIT -APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP iNC Create Date
Category 401 - Residential-Exterior (laterals) Plan
No 101076
Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0
Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0
BarSink 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
04/29/2003
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
NSFR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size Material Type #
4 Plastic Lateral
4 Plastic Lateral
1 Copper Lateral
Conn. Type
New
New
New
$2,500.00 Plan Approval $0.00 Permit Fees $75.00
Date 04/29/2003
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
~q,/,~.'/~, ~ Date
Signature pt,~'v~-~, Agent/Owner
Address 2781 VILLAGE LN OSHKOSH WI 54904 - 0000 Telephone Number
235-6450