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OSHKOSH
ON THE WATER
Job Address 811 W 10TH AVE
CITY OF OSHKOSH
No 0077572
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
HARRY SALZER
Create Date 06/06/2000
Contractor
JOHN D RANSOM
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 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 I 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
Use/Nature
of Work
Replace water heater
Valuation
Issued By r--
Sanitary Sewer
Storm Sewer
Water Service
Size
#
Material
Type
Conn. Type
$355.00
Address W 5056 PARADISE LN
Plan Approval
$0.00
Permit Fees.
$10.00
Date 06/06/2000
D Permit Voided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Agent/Owner
FOND DU LAC WI 54935 - 9662
Telephone Number 922-1987