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OSHKOSH
ON THE WATER
Job Address 2432 HICKORY LN
Contractor SAMMONS PLUMBING
CITY OF OSHKOSH No 91332
PLUMBING PERMIT - APPLICATiON AND RECORD
Owner ARTHUR W & CECILIA BAIER Create Date 11/07/2001
Category 401 - Residential-Exterior (laterals) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink
Toilet Lndry Stndp Clothes Wshr Ice Chest FlrlWst Sink
Res. Sink Disposal Bidet Exam Sink Catch Basin
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
INSTALL CITY SEW & WTR
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap _
Size
Material
Type
#
Conn. Type
Sanitary Sewer
4
Plastic
Lateral
New
Storm Sewer
Water Service
Copper
Lateral
New
Valuation
$4,000.00
Plan Approval
$0.00
Permit Fees
$50.00
Issued By
Date 11/15/2001
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 522 W. MURDOCK AVE
Agent/Owner
OSHKOSH
WI 54901 - 2298
Telephone Number 414-231-9880