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HomeMy WebLinkAbout0099883-Plumbing (water heater)OSHKOSH ON THE WATER .lob Address 1905 WHITE SWAN DR Contractor RASMUSSEN PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner TROY M/LORI A DAUN Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 99883 Create Date 02/20/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $450.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 02/20/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 02/28/2003 09:25 2336747 J RASMUSSEN PAGE 01/01 plumbing Permit Application ' . cit~f~¢v (le~cr{~e~l, the ~¢o~r1~. to cio ~ ~ou~l'~t u~ Cit~ B~ll, Ro~ 205 fees l~int d~lblad Application(s) ~;~a f~e(~) Commencing work wizhout pe~it(~) ~1t ~S'a).t i~ OshkOsh ~ 54~()3-1128 .... Number of .Fixtures: ~, or~. ' ..... [:i,*w~ si.'~ --~ ~T~ 5 ~cc~ 'Z F ~V~I, Cio~nc* %vd~¢ ~- .... F Pm~ Sir& ~.~ FI~ Drain '~'i~= ..... ~Ele~C I~st~lla6o~ Verifieafl~u form attach~ Electric Cootractor 3/02