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OSHKOSH
ON THE WATER
Job Address 1424 W 3RD AVE
CITY OF OSHKOSH
No 0077150
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
GERALD L NOWICKI
Create Date 04/03/2000
Plan
Contractor
MPKELLY
Bathtub Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater 1 Sump Pump
Site Drain Classrm Sink
Roof Drain Breakrm Sink
Use/Nature
of Work
r~œ~~~'~
Category 411 - Residential-Water Heaters
Ejector/Grind Dip Well F Prep Sink Gar Drain
Water Softner - Drink Ftn Serv Sink Soda Disp
Local Waste Wait St. Shamp Sink Coffee Maker
-
Clothes Wshr Ice Chest FlrlWst Sink - Int Grease Trap
Bidet Exam Sink Catch Basin Ext Grease Trap -
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Sanitary Sewer
Conn. Type
Storm Sewer
Water Service
Size
Material
Type
#
Valuation
$400.00
Issued By r¡A!L.-----
Plan Approval
$0.00
$10.00
Permit Fees
Date 05/17/2000
D Permit Voided i
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Address 665 N MAIN ST
Agent/Owner
OSHKOSH
WI 54901 - 0000
Telephone Number
231-1750
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