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0095027-Plumbing (laterals)
.e OSHKOSH ON THE WATER Job Address 1259 HARNEY AVE CITY OF OSHKOSH No 95027 PLUMBING PERMIT - APPLICATION AND RECORD Owner HABITAT FOR HUMANITY Create Date 06/11/2002 Category 401 - Residential-Exterior (laterals) Plan Contractor ZILLGES EXCAVATING Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 - - - - Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 - - Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0 - Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 - - Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 - Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 - - - - Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 - - - Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature of Work NSFR Size Type Material Sanitary Sewer 4 Plastic Lateral Storm Sewer Water Service 1.25 Lateral Plastic # Conn. Type 0 0 1 New 0 0 0 0 0 0 0 0 0 1 New 0 0 $50.00 Date 06/11/2002 Valuation $1,200.00 $0.00 Permit Fees Plan Approval Issued By o Permit Voided I Signature . In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Date Address 1800 FOUNTAIN AVE Agent/Owner Oshkosh WI 54904 - 0000 Telephone Number 376-1005