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OSHKOSH
ON THE WATER
Job Address 741 BISMARCK AVE
CITY OF OSHKOSH
No 0051605
Contractor
PLUMBING PERMIT - APPLICATION AND RECORD
MERMAID WATER SERVICES CORP
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
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
Lab Sink
Sterilizer
Owner HARRY W WAHLGREN Create Date 03/08/96
Category 420 - Residential-Other 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
RENTAL WTR SFNR FOR JAMES HEFFRON
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
$300.00
$10.00
Permit Fees
Date 04/10/96
U Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 747 BISMARCK AVE
Agent/Owner
OSHKOSH
WI 54901 - 5809
Telephone Number