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OSHKOSH
ON THE WATER
Job Address 1616 HICKORY ST
CITY OF OSHKOSH No 91053
PLUMBING PERMIT - APPLICATION AND RECORD
Owner CARLTON M/SHARO USELMAN TRUST Create Date 11/01/2001
Contractor RAPID SOFT LLC
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
Category 410 - Residential-I nterior Plan
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest FlrlWst Sink
Bidet Exam Sink Catch Basin
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Use/Nature ~FRllnstall water softener.
of Work
Valuation
Issued By lGVV\
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
$800.00
Address P.O. BOX 4052
Plan Approval
$0.00
Permit Fees
$20.00
Date 11/01/2001
D Permit Voided I
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Agent/Owner
APPLETON
WI 54915 - 0052
Telephone Number 920-757-6432