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0099074-Plumbing (laundry tray)
OSHKOSH ON THE WATER JobAddress 1330 FIRESIDE CIR Contractor RASMUSSEN PLUMBING CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner JOHN Y/CAROLE S GONSALVES Category 410 - Residential-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 1 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 Bar Sink 0 Dishwasher 0 BeerTap 0 SculrySink 0 Wash Ftn 0 Water Heater 0 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 99074 Create Date 12/13/2002 Plan Gar Drain 0 Soda Disp 0 Coffee Maker 0 Iht Grease Trap 0 Ext Grease Trap 0 Use/Nature SFR/Install laundry tub. 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 $300.00 Plan Approval $0.00 Permit Fees $20.00 Issued By Date 12/13/2002 [] Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 1914 GREENBRIARTRL OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 J RASMUSSEN PAGE BI/Bi 12/14/2BB2 07:26 2336747 {?t,,mc:: (030) Plumbi~.q Permit Appel. cat,on