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0093901-Plumbing (water heater)
CITY OF OSHKOSH No 93901 OSHKOSH PLUMBING PERMIT APPLICATION AND RECORD ON THE WATER Job Address 1781 1783 MARICOPA DR Owner MOKLER PROPERTIES Create Date 04/29/2002 Contractor MOREMAN PLUMBING Category 411 Residential -Water Heaters Plan Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wst Sink 0 Int Grease Trap 0 Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 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 Use /Nature 1783 D/ Install 30 gallon electric water heater. of Work Size Material Type Conn. Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $400.00 Plan Approval $0.00 Permit Fees $20.00 Issued By fl Date 04/29/2002 Ej Permit Voided In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address PO BOX 1325 OSHKOSH WI 54903 0000 Telephone Number 231 -9191