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OSHKOSH
ON THE WATER
Job Address 1423 HARRISON 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 0073353
PLUMBING PERMIT - APPLICATION AND RECORD
GLAZE PLUMBING
Owner KRISTI L POPPELL Create Date 10104/99
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
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
INSTALL we
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
$8,500.00
Plan Approval
$0.00
$10.00
Permit Fees
Date 10104/99
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
Agent/Owner
OSHKOSH
Telephone Number 589-4014
WI 54904 - 0000
Address 1865 JAMES RD