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· OS~SH
ON THE WATER
Job Address 1855 ORCHARD LA
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No 0056513
PLUMBING PERMIT - APPLICATION AND RECORD
M P KELLY
Owner FRANCES E WOLFE Create Date 04/10/96
Category 410 - Residential-Interior Plan
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
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
ADD BASEMENT BATH
Ize
Sanitary Sewer
Storm Sewer
Water Service
$2,200.00
Permit Fees
$12.00
Date 01/22/97
U Permit VOided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
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Agent/Owner
Address W6764 HWY 23
FOND DU LAC WI 54937 - 0000
Telephone Number 1-800-923-0721