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OSHKOSH
ON THE WATER
Job Address 1400 1414W2NDAVE
CITY OF OSHKOSH
No 0053727
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
JOHN B HUGHES
Create Date 05/30/96
Contractor
COLLIER PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Shower
Floor Drain
Category 440 - Industrial-Interior
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait.St. Shamp Sink
Clothes Wshr Ice Chest Flr/Wst Sink
Bidet Exam Sink Catch Basin
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Plan
Gar Drain
Soda Disp
Res. Sink
Bar Sink
Water Heater
Lndry Tray
1 Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Coffee Maker
Int Grease Trap
Ext Grease Trap
Site Drain
Roof Drain
Breakrm Sink
Use/Nature
of Work
REPLACE WC AT 1402W 2ND AVE
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$200.00
Permit Fees
$10.00
Issued By
Date 08/02196
U Permit Voided I
In the performan 0 this wor , I agree to perform all work pursuant to rules governing the described construction.
Date
er2-tb
Signature
AgenVOwner
Address 2910 STONY BEACH LN RD
OSHKOSH
WI
54901 - 7239
Telephone Number
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