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HomeMy WebLinkAbout0101966-Plumbing (water heater)OSHKOSH ON THE WATER Job Address 1626 W 6-i-H AVE Contractor SAMMONS PLUMBING CITY OF OSHKOSH No 101966 PLUMBING PERMIT - APPLICATION AND RECORD Owner ARMENE HAFEMEISTER Create Date 06/05/2003 Category 411 - Residential-Water Heaters Plan 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 1 Sump Pump Site Drain 0 Ctassrm Sink Roof Drain 0 Breakrm Sink 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 0 Clothes Wshr 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 StandpRec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap 0 Use/Nature SFPJ Install gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $450.00 Plan Approval $0.00 Permit Fees $20.00 DaW 0~05~003 [] 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 522 W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880