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OSHKOSH
ON THE WATER
Job Address 841 JEFFERSON ST
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Valuation
Issued By
CITY OF OSHKOSH
No 0072954
PLUMBING PERMIT - APPLICATION AND RECORD
RASMUSSEN PLUMBING
Owner WILLIAM & NANCY HOWARD Create Date 08/09/99
Category 410 - Residential-Interior Plan
Ejector/Grind Dip Well F Prep Sink Gar Drain
Water Softner Drink Ftn Serv Sink Soda Disp
Local Waste Wait. St. Shamp Sink Coffee Maker
Clothes Wshr Ice Chest FlrlWst Sink Int Grease Trap
Bidet Exam Sink Catch Basin Ext Grease Trap
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
Shower
Floor Drain
1 Lndry Tray
1 Lndry Stndp
1 Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
REPLACED TOILET, VANITY, KITCHEN SINK, GAS WATER HEATER
Size Material Type # Conn. Type
Sanitary Sewer I
Storm Sewer
Water Service
$1,000.00
Plan Approval
$0.00
$16.00
Permit Fees
Date 09/16/99
D Permit Voided I
,
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
OSHKOSH
Telephone Number 414-233-6747
WI 54904 - 0000
Address 1914 GREENBRIAR TRL