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HomeMy WebLinkAbout0100897-Plumbing (water heater)OSHKOSH ON THE WATER .lob ,Address 436 W 18TH AVE 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 DORA MAE ROLPH/EILEEN ROLPH 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 CIothesWshr 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 100897 Create Date 04/22/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace gaswater heater of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $450.00 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 04/22/2003 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 04/22/2003 18:42 2336747 J RASNUSSEN PAGE 01/01 Plumbing Perm}t App!icatior~ -eot'or ~en'~ c,:"~ 'PO Boy 1128, - -- ~t/s'~ ~l~ remx~;' i~ 'fee g t~5,~.~ dc'ubi~Id ov $1.00.00 phis Ibe Oshkosh ~ 54903-1128. Ccm~'e,~c:ing v;o~ ,~.4'~ol,.~ pei.h ~... - ...... y e o orr ~ ~ ~ tI t P ~ C ~ O r P~J.~.~~,~L~'~'~r " ' ~~{~'/il''':Z~'') t 's ltL-'~'''~u ...................... t.]~j'L~'e~..t!L.J.~!-~a~o~,''~'' ................. t/~ g ~ l ~ ~]~ u..-,,,,~,.,,o~.~.'''~'~.' ........ ~ ......... ' ........... Owner ~ I ~ k ........... 'Co~t~a,~or ~.) .~:...= ............... 2 ............................. r~.¢~ r.,.u~, ['"2:m,¢~:~ f""S}~,,~-,i-~'~' E]~.e~t,~ C.]co.~,~'~n~ E::] f3i~po~u I ........... [5' Cho¢aSyCv ......... {.Av~tO~ ........... %~aiL F ~e'ag~ Sink