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2002-Plumbing (remodel)
0 CITY OF OSHKOSH No 94297 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 212 S LARK ST Owner ROBERT E ZELLMER Create Date 05/13/2002 Contractor D.R.HANSEN PLBG. Category 410-Residential-Interior Plan Bathtub 0 Shower 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 ........... Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink - 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 1 Clothes Wshr 0 Ice Chest 0 FIrfWst Sink 0 Int Grease Trap 0 Res.Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap —0, Bar in 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent.Oper. 0 Hand Sink 0 Urinal 0 Site Drain ---------0 Classrrn Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain -0 Breakrrn Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature —------ --—-------- of Work INSTALL SHOWER AND LAUNDRY . ............... Size Material Type # Cann.—Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $2,000.00 Plan Approval $0.00 Permit Fees- $20.00 Issued By Date 05/13/2002 Permit VoicCe In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 55 KNAPP ST OSHKOSH WI 54902 -0000 Telephone Number 233-1595