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CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Osl-SH
ON THE WATER
Job Address 1226 BISMARCK AVE
Contractor
WATTERS PLBG-OSHKOSH
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
JOHN E & G C SCHWARTZ TRUST
Category 410 - Residential-Interior
Dip Well
Drink Ftn
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
No 0067762
Create Date 11/30/98
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature
of Work
CREATE BASEMENT BATHRM
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
$2,135.00
Ize
Plan Approval
$0.00
Permit Fees
$12.00
Date 12/15/98
U Permit VOided I
In the performance ofthis work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Address STATE RD 44
Agent/Owner
Oshkosh
WI 54901 - 0
Date
Telephone Number 235-7060