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0098928-Plumbing (water heater)
CITY OF OSHKOSH OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 122 W 12TH AVE Owner CLARENCE A BAUER Contractor SAMMONS PLUMBING Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 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 LndryStndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink __ Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin __ Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn Water Heater 1 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 No 98928 Create Date Plan 12/04/2002 0 Gar Drain 0 Soda Disp 0 Coffee Maker 0 Int Grease Trap 0 Ext Grease Trap __ 0 0 0 0 0 0 0 0 0 Use/Nature ~SFP,/ of Work 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 Agent/Owner Address 522W. MURDOCKAVE OSHKOSH WI 54901 - 2298 Telephone Number 231-9880