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2002-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 751 W 4TH AVE Contractor SAMMONS PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner ROBERT G/RUTH F RHINE Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Whirlpool 0 Floor Drain 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 BarSink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0 Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 98908 Create Date 12/04/2002 Plan · Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ Use/Nature of Work IFP,/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 $400.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 12/04/2002 [] Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date AgentJOwner Address 522W. MUP, DOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880