HomeMy WebLinkAbout0101900 POSHKOSH
ON THE WATER
.lob Address 1470 NORMAN WAY
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 JEREMY & ANNE MARIE BIRSCHBACH
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 ClothesWshr 0 Ice Chest 0 FIr/Wst 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 101900
Create Date 06/03/2003
Plan
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
$2,500.00 Plan Approval $0.00 Permit Fees
Conn. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
$75.00
Date
06/03/2003
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 1470 NORMAN WAY
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEREMY & ANNE MARIE BIRSCHBACH
Contractor HANNA EXCAVATING
Category 401 - Residential-Exterior (laterals)
Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink
WhiHpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink
Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink
Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn
Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec
Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker
No 101900
Create Date 06/03/2003
Plan
Gar Drain 0
Soda Disp 0
Coffee Maker 0
Int Grease Trap 0
Ext Grease Trap 0
Use/Nature
of Work
NSFR
Sani~rySewer
Storm Sewer
4
Water Service
Size Material Type
4 Plastic Lateral
Plastic Lateral
Copper Lateral
Corm. Type
0
0
1 New
0
0
0
0
1 New
0
0
0
0
1 New
0
0
Valuation $2,500.00 Plan Approval $0.00 Permit Fees $75.00
Issued By
Date 06/03/2003
[] Permit Voided J
In the performance ~i~ work, I agree to pe~o2 all work pursuant to rules governing the described construction.
Signature ~--~ ?-~,~.,~_.~ ~ Date
5/ Agent/Owner
Address 278"~lLLAGE LN OSHKOSH WI 54904 - 0000 Telephone Number
235-6450