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0100001-Plumbing (sink & disposal)
OSHKOSH ON THE WATER .lob Address 2008 HAZEL ST Contractor RASMUSSEN PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 1 Disposal 1 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 DALEWSONNENBERG Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 ClothesWshr 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 100001 Create Date 02/28/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace kitchen sink and garbage disposal. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $400.00 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 02/2@/2003 07:54 2336747 J RASNUSSEN PAGE 01/01 Oshkosh O.~hkosh, Vl 549014-1 I30 (920) 236-5050 ~920) 236-~094 Oghko~h 9~o-a38-5oo4 p.1 Plumbing Permit Application . Appli~fion(s) and t~e(s) can be ~ought to City Hall, ~oom 205 or mailed w '~spectian 9er~ices, PO Box 11.18, O~hkosB WI 54903-1128, ~m~aencing work ~j.~o~ p~nnit(s) ~ll reittlt [~ ~e~s ~c{~g ~ot~blt. d ~' $100.00 pk~s thc on c~it fee, which e.x'~ Flns~ Sink t;lectric Contractor Use / N~l~re of Work~ ~-JElectric l~si~l{.itio. Veriflc~fl~ form nttacbed (If R~pl~ccm~n:) . Water ,Ser~d.c¢ Matncia] -- --'TFPc ,~ Corn. Type 3/o2