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0098374 P
CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2555 2565 WISCONSIN ST Owner Contractor COMPLETE PLUMBING INC Category 410- Residential-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 ServSink Lavatory 0 Lndry Tray 2 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 Beer Tap 0 SculrySink 0 Wash Ftn Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal Site Drain 0 Classrm Sink 0 LabSink 0 Plaster Sink 0 Standp Rec __ Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker No 98374 Create Date 08/15/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ 0 0 0 0 0 Use/Nature of Work XTRA FXTS TO PERMIT 94080 REMIT $20.00 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 $700.00 Plan Approval $0.00 PermitFees $20.00 Issued By Date 11/04/2002 [] 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 1197 RACINE ST MENASHA WI 54952 - 0000 Telephone Number 920-720-5390