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0
OS~SH
ON THE WATER
Job Address 688W 3RD AVE
Bathtub Shower
Whirlpool Floor Drain
Lavatory 1 Lndry Tray
Toilet 1 Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater 1 Sump Pump
Site Drain Classrm Sink
Roof Drain Breakrm Sink
Contractor
Use/Nature
ofWork
Valuation
Issued By
CITY OF OSHKOSH
No 0060767
PLUMBING PERMIT - APPLICATION AND RECORD
PERDUE, STEVE
Owner RICHARD L GABERT
Category 440 - Industrial-Interior
Ejector/Grind Dip Well F Prep Sink
WaterSoftner Drink Ftn Serv Sink
Local Waste Wait.St. Shamp Sink
Clothes Wshr Ice Chest FlrlWstSink
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
Int Grease Trap
Ext Grease Trap
Create Date 10/17197
Plan
Gar Drain
Soda Disp
Coffee Maker
INSTALL 1/2 BATHRM FIXTS & POINT OF USE WTR HTR
,,'ze Ma erla' ype ~ <-onn. ype
Sanitary Sewer
Storm Sewer
Water Service
$800.00
Plan Approval
$0.00
Permit Fees
$12.00
Date 10/17/97
U Permit Voided I
In the performann jj...._..ce of this work, I agree t.o perform all work pursuant to rules governing the described construction.
Signature ~ ~ Date
,~.._----------_....--._------ Agent/Owner
Address 1650 GEORGIA ST OSHKOSH
)0-1)-7')
-_..-----~._----
WI 54901 - 0
Telephone Number 414426-3449
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