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CITY OF OSHKOSH No 83662
OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
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Job Address 902 WINDWARD CT Owner TED HOFF !, Create Date 01/12/2001
Contractor GLAZE PLUMBING Category 411 - Residential -Water Heaters Plan
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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
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Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
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Use /Nature Replace 40 gal gas water heater
of Work
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Size Material Type # ' Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $450.00 Plan Approval $0.00 Permit Fees i $20.00
Issued By Date 01/12/2001
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
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Signature
1 Date
Agent/Owner
Address 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 589 -4014
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