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0100410-Plumbing (sump pump)
OSHKOSH ON THE WATER .lob Address 1602 CLARKS CT Contractor RASMUSSEN PLUMBING Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 0 Sump Pump 1 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner JOHN O THOMPSON Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 CIothesWshr 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 100410 Create Date 03/26/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/install sump pit & pump for clearwater of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $500.00 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 03/26/2003 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 g3/27/2003 07:27 2336747 J RASNUSSEN PAGE 01/01 Os~os~ ~t 5490~-1130 Phew: ~20) 23~50~0 (920) 2~6-5084 p.l Plumbing'Permit APplioation .Application(s) ant fee(s) c~n ~ ~t~fht to City Hail, Room 205 ~ mailed w 'L~sp~tion S~iccs, PO Box [ 1.21, Oshkosh '~q 54903-1 [2g. C~me~cing work without permit(s) ~lt r~ult i~ fi~ being dottbled ~ $100.00 plus thc no~al pe~it fcc, which ever is 0~. ,, ~,~4 ~Commercial ~Indu~trial ~i.g~e ~m~ ~Dap~ex ~Mulfl-~amQY ~Rent~l Sbam~ £;ink Number of Fixtures: o~n,. o~ ...... L.~I W~t= ~ Cof~* M~tcer "Oas '5 ~leet ~ ~V~I C~ethe~ %v~h: ........ ~ ~ Sink ....... Flar~ ~atn .... ~r Ta~ Iht ~asc l'tap ...... Ro~f Drai~ , ~xt ~se, ~lectric Contractor Use / Nature of Work,~_~ Material Type S~mt~, Sewer