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HomeMy WebLinkAbout0100546 POSHKOSH ON THE WATER ,Job Address 52 STONEY BEACH RD Contractor GLAZE 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 MARK K/KELLY K LAUX Category 411 - Residential-Water Heaters 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 100546 Create Date 04/01/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace 40 gallon gas water heater. of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size $800.00 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 04/01/2003 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 1865 JAMES RD OSHKOSH WI 54904 - 6873 Telephone Number 589-4014 PlumbingLO hereby apply ~r a ~ ~ ~ ~ ~ ~ ~ollo~ p~ o~ ~ ~ ~r~ ~h ~ ~3-1128, ~~g ~ ~ ~s) ~H ~t ~ ~ ~E ~you ar~a c~etr~ a~t~arfa~ ~..~A~.Pe~it Fee ~cc.o~a~ 5~sre~ a~kave Eleetrle Conti~etor Uae t Nature of Work SL~e S~-,~, PO B~ox { 128, doubled or $100..00 plus the t Verllicati~n form attached