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0101148-Plumbing (laterals)
OSHKOSH ON THE WATER Job Address 3342 LOUISE CT Contractor BERNDT EXCAVATING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner CHAD/TONYA HUISMAN Category 401 - Residential-Exterior (laterals) Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F PrepSink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 LndryTray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 LndryStndp 0 Clothes Wshr 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 Beer Tap 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 101148 Create Date 04/30/2003 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature of Work NSFR Valuation Issued B~ Sanitary Sewer Storm Sewer Water Service Size Material Type # 4 Plastic Lateral 1.25 Plastic Lateral Conn. Type 0 0 1 New 0 0 0 0 0 0 0 0 0 I New 0 0 $1,000.00 Plan Approval $0.00 Permit Fees $50.00 [] Permit Voided Date 05/01/2003 In the perform~f)~his w. or~ I.~ree t~m~ all wor~,~ve,, ,;i ,g [; ,o described construction. Signature ,~,./~ ~.~ ~'~,/~.~,,~ Date Agent/Owner Address 2527W WAUKAU AVE OSHKOSH WI 54904 - 0000 Telephone Number 235-3331