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CITY OF OSHKOSH No 0054266
OSH OSH PLUMBING PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1950 WHITE SWAN DR Owner DENNIS E GAIL SCHWAB Create Date 08/27/96
Contractor RASMUSSEN PLUMBING Category 411 Residential -Water Heaters Plan
Bathtub Shower Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink Int Grease Trap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use /Nature
of Work NG WTR HTR
Size Material Type Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $400.00 Permit Fees $10.00
Issued By Date 08/29/96
L 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 2129 JACKSON ST OSHKOSH WI 54901 1805 Telephone Number