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OSHKOSH
ON THE WATER
Job Address 300 S KOELLER ST
CITY OF OSHKOSH No 92716
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LANDMARK LIMITED PARTNERSHIP III Create Date 02/18/2002
Contractor D.R. HANSEN PLBG.
Category 440 - Industrial-Interior Plan
Bathtub 0 Shower 0 Ejector/Grind 0 D.ipWell 0 F Prep Sink 0 Gar Drain 0
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Whirlpool 0 Floor Drain 1 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
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Lavatory 1 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
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Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ic,e Chest 0 FlrlWst Sink 0 Int Grease Trap 0
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Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
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Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
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Water Heater 1 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0
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Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
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Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use/Nature
of Work
Size
Mat~rial
Type
#
Conn. Type
Sanitary Sewer
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Storm Sewer
Water Service
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Valuation
$3,000.00
Plan Approval
$0.00
Permit Fees
$24.00
Issued By
Date 02/18/2002
U 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
Address 55 KNAPP ST
WI 54902 - 0000
Telephone Number 233-1595