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0098669 P
e OSHKOSH ON THE WATER Job Address 2491 2495 PATRIOT LN CITY OF OSHKOSH No 98669 PLUMBING PERMIT -APPLICATION AND RECORD Owner Create Date 11/18/2002 Plan Contractor WATTERS PLUMBING Category 410 - Residential-Interior Bathtub 2 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool ~ Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink ~ Soda Disp ~ Lavatory 2 Lndry Tray 0 Local Waste 0 Wail.SI. 0 Shamp Sink 0 Coffee Maker 0 Toilet 2 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ex! Grease Trap ~ Bar Sink 0 Dishwasher 0 BeerTap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Denl. 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 Use/Nature ofWork 1-=' ;o"""ro~ BSMT RI'S Size Material Type # Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service Valuation $1,100.00 Plan Approval $0.00 Permit Fees $36.00 Issued By Date 11/18/2002 0 Permit Voided I in the performance of this work, I agree to perform all work pursuant to ruies governing the described construction. Signature Date AgenUOwner MENASHA WI 54952 -1129 Telephone Number 800-801-8125,733-81 Address 1303 MiDWAY RD, PO BOX 118