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0100242 P
OSHKOSH ON THE WATER .lob Address 1610 OSHKOSH AVE Contractor RASMUSSEN PLUMBING Bathtub 1 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 1 Lndry Tray 0 Toilet 1 Lndry Stndp 0 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 DONALD W MAND 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 100242 Create Date 03/11/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace bathroom fixtures in the 2nd floor bathroom. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $3,000.00 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 03/17/2003 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 83/15/2883 19:45 2336747 J RAS~S~ PAGE 01/01 ~0--~'~G'~ 5'084 p,, i plumbing PermR APPlication W~co~s.s~ ..... ~ ~ 205 ~ msflc~ . ~-~ ~iu~ ~b]=d ~ ~l .. _.~_~,~ ~o~-~~j''*' _~+t~ S~slt~ ' ~ ..... ' -. ~= w~c~ ~ ~> ~ ~' /- -~ ~n~~'~-~ ~ P~ '~ 1~ C~t '~ (j~ ~al~ = ~ W,l~ Sofm~ ...... SCe~ $~k ~--~ Coffee M~k~r ~ L~; W~ ~- ~d ~i~k ~---- Ice Ma~ ~ Con~, Typ~ --- MateSal Type -----~--" Size storm Sr, we~