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HomeMy WebLinkAbout0101994-Plumbing (laterals)CITY OF OSHKOSH Create Date Plan OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 775 WEATHERSTONE DR Owner MIKE BEAMAN Contractor NOVAK EXCAVATING INC Category 401 - Residential-Exterior (laterals) No 101994 06/05/2003 Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap -- Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 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 Use/Nature of Work NSFR 0 0 0 0 0 Size Material Type # Conn. Type Sanitary Sewer 0 0 4 Plastic Lateral I New 0 0 Storm Sewer 0 0 4 Plastic Lateral I New 0 0 Water Service 0 0 1 Copper Lateral 1 New 0 0 Valuation $1,000.00 Plan Approval $0.00 Permit Fees $75.00 Issued By [] Permit Voided J Date 06/05/2003 In the performance of this ~voy agree to~..~.m _allf pursuant to rules governing the described construction. Signature ~,,,~ .~_ _~ ~/~'~?'~'/v Date Address PO BOX 389 RIPON WI 54971 - 0000 Telephone Number 920-748-2512 OR 57