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0099563-Plumbing (water heater)
OSHKOSH ON THE WATER ,Job Address 680 FRANKLIN ST 6ontractor D.R. HANSEN PLBG. CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner REBECKAH R BLANCHETTE Category 411 - Residential-Water Heaters Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 LndryTray 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Water Heater 1 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 No 99563 Create Date 01/24/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work REPLACE WATER HEATER Sanitary Sewer Storm Sewer Water Service Size Material Type Valuation $450.00 Plan Approval $0.00 i :.;':; Permit Fees Issued By Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Permit VoiS~b j Date 01/24/2003 In the performance of this work, I agree to perform all work pursuant to rul'eS goCerning the described construction. Signature -' ~ Date Agent/Owner Address 55 KNAPP ST OSHKOSH WI. 54902 - 0000 Telephone Number 233-1595