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OS~SH
ON THE WATER
Job Address 2445-2447 BLAKE CT
CITY OF OSHKOSH
No 0064006
Contractor
PLUMBING PERMIT - APPLICATION AND RECORD
JIM'S PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Shower
Floor Drain
1 Lndry Tray
1 Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
Lab Sink
Sterilizer
Owner SECURITY HOMES Create Date 05/11/98
Category 410 - Residential-Interior Plan
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Wait. St. Shamp Sink Coffee Maker
Ice Chest FlrlWst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sink Wash Ftn
Hand Sink Urinal
Plaster Sink Standp Rec
Surgeons Sink Ice Maker
Use/Nature
of Work
XTRA FIXTS TO PERMIT 62041
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$600.00
Ize
Plan Approval
$0.00
Permit Fees
$16.00
Date 05/19/98
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
AgenUOwner
GREENVILLE WI 54942 - 0
Address W-6166 GREENVILLE DRIVE
Telephone Number 757-5258 OR 757-6