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0102699-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 1449 KNAPP ST Contractor ZENTNER PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner VALERIE A ZAPOLSKY Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink __ Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sen/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 1 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 102699 Create Date 07/08/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Int Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Use/Nature ~FR/Install gaswater heater. of Work Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. T ype 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 07/08/2003 [] Permit Voided ] In the performance of this work, I agree to perform ail work pursuant to rules governing the described construction, Signature Date Agent/Owner Address 2860 OREGON ST OSHKOSH WI 54902 - 7136 Telephone Number 235-1340