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0100000-Plumbing (1st floor laundry)
OSHKOSH ON THE WATER .lob Address 1656 DELAWARE ST Contractor RASMUSSEN PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 1 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 0 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner DORIS M MITCHELL Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 CIothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100000 Create Date 02/28/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Install stack washer on the 1st floor. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $2,000.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 02/28/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 - 8887 Telephone Number 920-233-6747 02/28/2003 07:55 2336747 J RASMUSSEN PAGE 01/01 Oghk. o~h 9~f3~23~,-5084 p.l · Plumbing ,Perm'it Applioation · 'naftc~ describa& thc w~k to cO~ to ~e AODticati~a~$) aaa. =.-~ ~.' ..... ~CiD~ work ~{th~t pc~ ~:. ) ' ~aLhtub ~' ~hoW~l .... Didct '-- 5~. gi~k .......... Roof Orai~ ....