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OSHKOSH
ON THE WATER
Job Address 2458 HICKORY LN
CITY OF OSHKOSH No 84714
PLUMBING PERMIT - APPLICATION AND RECORD
Owner DANIEL C/LEEANN C MORRILL Create Date 03/08/2001
Contractor SAMMONS PLUMBING
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Valuation
Issued By /~
,
Category 401 - Residential-Exterior (laterals) Plan
Shower Ejector/Grind Dip Well F Prep Sink
Floor Drain Water Softner Drink Ftn Serv Sink
Lndry Tray Local Waste Wait. St. Shamp Sink
Lndry Stndp Clothes Wshr Ice Chest FlrlWst Sink
Disposal Bidet Exam Sink Catch Basin
Dishwasher Beer Tap Sculry Sink Wash Ftn
Sump Pump Dent. Oper. Hand Sink Urinal
Classrm Sink Lab Sink Plaster Sink Standp Rec
Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap _
INSTALL CITY SEW & WTR
Size Material Type # Conn. Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer
Water Service
1 Copper Lateral 1 New
$4,000.00
$0.00
Permit Fees
$50.00
Plan Approval
Date 03/16/2001
D Permit Voided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Address 522 W. MURDOCK AVE
Date
Agent/Owner
OSHKOSH
WI 54901 - 0000
Telephone Number 414-231-9880