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0099814 P
OSHKOSH ON THE WATER ,Job Address 924 OHIO ST Contractor RASMUSSEN PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ALL AMERICAN INVESTMENTS LLC Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 Water Heater 1 Sump Pump 0 Dent. 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 No 99814 Create Date 02/13/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature COMM/ RENTAL/ Replace electric water heater. *EIV form form Drexler Electric. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $450.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 02/13/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 02/1~4/2003 08:09 23367~17 J RASMUSSEN PAGE 01/02 C',~ ~f Oshkosh ~ 0 Box 1 ~h.n~: (~20) 2]6-5050 Fax; (920) 226-508~ Plumbing Permit Application I hereby apply f~! a pctr~i! to do a~l, j~l~ail the follo~ng plum~$ ~n the pre~,~es b~iuaftc: des~bed. ~e Work to co~om~ to ~j~ v State Pl~b~"~g C~c. in ~he peffo~ance Of which ail pa.~e~ hereto a~ee ~(, an~ ~re ho~ln& by said .Appjicat~on(S) and fee(s) can ~ ~cugbt :o Ci.~y ~a]l, ~oom 205 or m~led to In~p~tion g~-ic~. PO Box ! Osh~ofl~ WI 54903-1128. Commencing wor~ wi~o,.t pe~[~[s) ~tl t~ult in fe~ l~ing doubled ot $t00.00 plu~ no~al peri, it fee, which ever is ~e~. Job Addres~..~ 0 ~ [ 0 V~lne (I.~h.,,~;.g ~.~-- ~." ~,~,~da~, ~ ~ -' -'- Owner ~.~--~~ 'Contractor ~ Zff~$'~ ~ ~'~' Number of Fixteres: ~. Plv/Wsl Si~k ---~ ~tm'y ...... ~nt ~in~r ..... $o0~ Di~ S~ri~ia~ ......... $.b:e --Ma~:fial 'l'ype-- # Coon. Type Storm 02/1~,/2003 08:09 2336747 J RASNUSSEN PAGE ......~-~=~,~-~ ~'~'~-f~' ~ ...................................................................................................................... Electric Installation Verification -" (Electdca] Contractor N~rne) ____ (Ci~) }rove b.e.z~ contracted to perform elec~c the follo~ ad~ ~ ~ n~U,re of the w~ ~i~ of: (~k ~e ~ D~ ~e Na~ of ~ork) ~ R~ol~cc~on or~ ci~uit for r~iac~eflt ~ ~eco~eo~on or ~.~x ~ca~cr or pow~ ve~ ~ Reco~ti~ of ~e S~ice Bntr~cc C~blc, Met~ Box, alt~tio~ to r~eptac~ F~ancc C~{~ will r~ a s~c ~it. app~j~c~ / fl~tureC J~~t for ~c r~lac~t ofo~erp~an~tly ~d ~d{~dual ~t~s ~n a dup]~ ~ cando~), e~cc~eal outlets, fncluding ~qu.ir~ ~ 0~ ! ~ereby verify th;. Work will be ~o~cd by ~ ~ploy~ of this comply and f~hcr v~' ~h~Cf~'~ion/installat/o~ wilt ~ done in compli~ce wi~ m~,,factu~. ~d ~l~e eodo (P~mt Name of O~c~) -- -~~