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2003-Plumbing (water heater)
OSHKOSH ON THE WATER ,Job Address 1515 MAPLE AVE Contractor MS PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 1 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD No 99266 Owner PA LOP,/KAMOUA SONG Create Date 01/03/2003 Category 411 - Residential-Water Heaters Plan Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 BeerTap 0 SculrySink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 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 of Work INSTALL 40 GAL NG WTR HTR 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 01/03/2003 [] Permit Voided J In the performance,~f t~'work,/I agre, c~to per[o,r~r~a~l work pt~Vsuant to rules governing the described construction. Signature /~,,/~~~~~ Date Agent/Owner Address 3660 CTY RD FF " eMRO WI 54963 - 0000 Telephone Number 920-685-0473