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0098749-Plumbing (shower module)
OSHKOSH ON THE WATER Job Address 536 W 5TH AVE Contractor WELLNITZ PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JEFFREY G SCHMIEDEL Category 410 - Residential-interior Bathtub 0 Shower 1 Ejector/Grind 0 DipWell 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 __ BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn Water Heater 0 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 0 No 98749 Create Date 11/21/2002 Plan 0 Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap __ 0 0 0 0 0 Use/Nature of Work INSTALL 36" SHWR MODULE Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $1,500.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 11/21/2002 [] 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 4810AMBERWOOD LN APPLETON WI 54915 - 0000 Telephone Number (0)231-7390