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HomeMy WebLinkAbout0102620 POSHKOSH ON THE WATER Job Address 621 S OAKWOOD RD CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner GERARD J/LISA R KEULER Contractor SAMMONS PLUMBING Category 411 - ResidentiaPWater Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 0 Lndry Stndp 0 CIothesWshr 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 Sculry Sink 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 102620 Create Date 07/03/2003 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 of Work FPJ Install gas water heater. 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 07/03/2003 [] 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 522W. MURDOCKAVE OSHKOSH WI 54901 -2298 Telephone Number 231-9880