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HomeMy WebLinkAbout0100508 POSHKOSH ON THE WATER .lob Address 527 MERRITTAVE 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 1 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner 527 MERRITT AVENUE LLC Category 411 - Residential-Water Heaters Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 ClothesWshr 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 100508 Create Date 03/28/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature DUPLEX/RENTAL/Replace gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $450.00 Plan Approval $0.00 Permit Fees Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $20.00 Date 03/28/2003 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 B3/29/2BB3 07:3B 2336747 J RASMUSSEN PAGE Bi/Bi ? 0 ~x il30 ~hon~: Fax: (9:20~ .~0 _~3S-50~14 plumbing Permit Application Oshkos5 WI. S4~0~-1 I~B. Commuting w~:~ wi~,t, peri.it(s) ~11 ~s~lt in ~e:s ~ing doub~cd ~' S~O0.O0 pkm thc ~Single ~ami~ ~apte~ ~uld-~am{l~ ~en~al ~Commercis~ ' ' I~d~' ~ tandp ~-- Dip Ice. C~eSt ~n~ ~ii~l~ ..... ~ i~c~ %Vos~ ~' Hand  C~ :.~ E~ct = ~%'n~ (;iof~ WSh: .......... F Et~,ctric Coatractor Use / Nature of Work.~. 01' Replac~aent) ,,~ ~,. ~ Con;I. Type , Stomi Scwe~ L~er ,c, erv~c¢ Material ~[ L-~tect,~c lestoi~ttou veriflctttJ~e form attaelaed