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HomeMy WebLinkAbout0100709 POSHKOSH ON THE WATER .lob .Address 630 JACKSON ST 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 630 JACKSON STREET LLC 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 100709 Create Date 04/09/2003 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 04/09/2003 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 84/18/2883 0B:27 233B7d7 J RASMUSSEN PAGE 01/81 O~OX 1130 Osh~os~ Wt 5490~-t 130 (920) 236.5050 ~920) 2~0~ Plumbing Permit Application ;bp foltowt~.r~ plum~L'~B a~ thc p~cr~ses bc~af~ ~,d,bed. the work to co~o~ apply fO~ a O~t ~ do ~d ~ ~th~ p c~e~ance of Which ail pa~cs hereto a~¢c ~o ~n6 at~ be~m~-by said MR . ' ~iled to ~pectiO~ SedUces, PO Box 1 . -- ...... ~-, H~I1, Room ~0~ or m · - .", .... :-- 8oublcd ¢ $100.00 pl~ thc ~o~ai p~ii ~¢c, which e~ is ~¢~t~. ....... ~Single FamU~ ~Duplex [~Mulil-Famlly ~en~l C~C°mmercial Number of l=iXlures: Batl~ub Wh]rlpool --~ ~v ~l~;~/ ....... W~it. ~L ~-~ 5~7 Sink' -' "~-*- ~l ~ G~ ~ Elcc~ .L PwtV~; ~'imh~ Ws~r ...... F ~p Sink ..... ~lt¢ ~[a -~'~ ~.¢~ Sink Electric Co~t.ractor Use / Na, n~re of Work~ $i~.e Material Co~o. Ty'p¢