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OSHKOSH
ON THE WATER
Job Address 2560 GASLIGHT CT
CITY OF OSHKOSH
No 0067640
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
PETER M/RENEE E DONNER
Create Date 11/30/98
Contractor GERRITTS PLUMBING INC Category 410 - Residential-Interior
Bathtub Shower Ejector/Grind Dip Well F Prep Sink
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink
Toilet Lndry Stndp Clothes Wshr Ice Chest FlrlWst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
XTRA FXTS TO PERMIT 66630
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Ize
Sanitary Sewer
Storm Sewer
Water Service
Valuation
$250.00
Plan Approval
$0.00
Permit Fees
$10.00
Issued By
Date 12/07/98
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
Agent/Owner
APPLETON
Address 709 DEERVIEW DR
WI 54915 - 0
Telephone Number 414-739-1399