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OSHKOSH
ON THE WATER
Job Address 1870 ORCHARD LA
CITY OF OSHKOSH
No 0079918
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
PAUL E PHilLIPS
Create Date 08/09/2000
Contractor
MERTEN PLUMBING
Category 411 - Residential-Water Heaters
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest FlrlWst 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
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
REPLACE WTR HTR
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
$400.00
Address 1087 COZY LANE
Plan Approval
$0.00
Permit Fees
$20.00
Date 08/14/2000
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Agent/Owner
OSHKOSH
WI 54901 - 0000
Telephone Number 231-6795