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0098553-Plumbing
OSHKOSH ON THE WATER Job Address 1836 DELAWARE ST Contractor RASMUSSEN PLUMBING CITY OF osHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner DEL TRITT Category 410 - Residential-Interior Bathtub 1 Shower 2 Ejector/Grind 1 DipWell 0 F Prep Sink __ Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink Lavatory 3 Lndry Tray 1 Local Waste 0 Wait. St. 0 Shamp Sink __ Toilet 3 LndryStndp 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 1 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin __ BarSink 0 Dishwasher 1 BeerTap 0 SculrySink 0 Wash Ftn Water Heater 1 Sump Pump 1 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 98553 Create Date 10/31/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap 0 0 0 0 Use/Nature INSFR 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 $8,000.00 Plan Approval $0.00 Permit Fees $108.00 Issued By Date 11/11/2002 [] 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 1914 GREENBRIARTRL OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 1~/10~700,2 lg:2G 2336?4? J RASMUSSEN PAGE 01/83 Ph~.mbir~g P~.rr~it A,ppli,cetio,~