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0101963-Plumbing (water heater)
OSHKOSH ON THE WATER ,Job Address 208 210 BACON AVE Contractor SAMMONS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner EUGENE L SCHMIDT Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink __ Whirlpool 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 SculrySink 0 Wash Ftn Water Heater I 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 101963 Create Date 06/05/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Graase Trap 0 0 0 0 0 Use/Nature of Work IUPLEX/ #210/ Install gas water heater. 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 $400.00 Plan Approval $0.00 Permit Fees $20.00 Date 06/05/2003 [] Permit Voided I in the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880