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0101967-Plumbing (water heater)
OSHKOSH ON THE WATER Job Addreee 1018 E BENT AVE Contractor SAMMONS PLUMBING CITY OF OSHKOSH Create Date Plan PLUMBING PERMIT ~ APPLICATION AND RECORD Owner CLARENCE A WHITE Category 411 - Residential-Water Heaters No I0~967 06/05/2003 Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Gar Drain Whidpool 0 Floor Drain 0 Water Softner 0 Ddnk 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 Sculry Sink 0 Wash Ftn 0 Water Heater 1. Sump Pump (~ 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 ~FPJ Install gas water heater. of Work 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 Valuation $450.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 06/05/2003 [] Permit Voided j In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880