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0099044-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 246 W 14TH AVE Contractor RASMUSSEN PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner Category RANDOLPH/IRENE WALTER 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F PrepSink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 LndryStndp 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 Beer Tap 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 LabSink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 99044 Create Date 12/11/2002 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap __ 0 0 0 0 0 Use/Nature ~)UPLEX/RENTAL/ Replace gas water heater. 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 $450.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 12/11/2002 [] Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1914 GREENBRIARTRL OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 12/88/2882 89:35 ,, I 2331~7___~7_____. J RASI4USSEN PAGE 81 / 81