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0099153-Plumbing (water heater)
i OSHKOSH ON THE WATER ,lob Addrees 713 W 9TH AVE Oontractor D.R. HANSEN PLBG. CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ROBERT G/MARCIA HESSENIUS Category .410 - Residential-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 ClothesWshr 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 Sculry Sink 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 99153 Create Date 12/19/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work REPLACE WATER HEATER Valuation Issued By 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 $450.00 Plan Approval $0.00 Permit Fees $20.00 Date 12/19/2002 Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date AgentJOwner Address 55 KNAPP ST OSHKOSH WI 54902 - 0000 Telephone Number 233-1595