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0100347-Plumbing (water heater)
OSHKOSH ON THE WATER .lob Address 1202 BISMARCKAVE Contractor RASMUSSEN PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 0 Lndry Tray Toilet 0 Lndry Stndp Res. Sink 0 Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner DUWAYNE BURNETT Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 0 WaterSoftner 0 Drink Ftn 0 ServSink 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 0 Bidet 0 Exam Sink 0 Catch Basin 0 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100347 Create Date 03/21/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace a gas water heater. 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 03/21/2003 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 03/22/2003 87:15 23367d7 J RASMUSSEN PAGE ~ZO_2~8-508 01/01 plumbing Permit Application i ~ m~Ic6 to ~sPci~,~- ~.,~ S 100.00 pk~ thc ....... v-ih1' to Ci~~ ~]l, ~OOm ~_. -~1 ~ ti in tees ~)Cm~ u ......... ~ ~ OsK~,os~n WI 5490~-t~ no~St p~jd. f~e, wl~ch ~ct is ~eat~. ~ ~ svs.~d ., . . . . ~~~¢~'~ ~~..~ ' ~ ~ ~ .oa~e,,.~-- Job Addr~s, ---- _~A..-.-: .......... -- .... E~S. 5~~k ~-- '~n:~ $o~ne, r --~-- Seul~ 51~ ..... Coffee Maker s,,~i~ ....... ~Ele~ric install~t!oa Vertfi~fl6n D~ attach~ Type E;ectrie Covtractnr Rtor~. Sew¢~ er 5~rvtC¢ 3/02