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OSHKOSH
ON THE WATER
Job Address 1522 MT VERNON ST
CITY OF OSHKOSH
No 0051194
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
TOM ARNDT
Create Date 03/06/96
Contractor
SAMMONS PLUMBING
Category 411 - Residential-Water Heaters
Plan
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Gar Drain
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
WTR HTR
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Valuation
Issued By
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
$350.00
Permit Fees
$10.00
Date 03/11/96
U Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 1205 RUSH AVE
Agent/Owner
Oshkosh
Telephone Number
WI 54901 - 0000