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0100945 P
OSHKOSH ON THE WATER .lob Address 1180 W 18TH AVE Contractor GLAZE PLUMBING CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner ALBERTW/LINDA KRUEGER Category 410 - Residential-Interior Bathtub 0 Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Whirlpool 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Lavatory 0 Lndry Tray 0 LocalWaste 0 Wait. St. 0 Shamp Sink 0 Toilet 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Res. Sink 0 Disposal 1 Bidet 0 Exam Sink 0 Catch Basin 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 SculrySink 0 Wash Ftn 0 Water Heater 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Roof Drain 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 100945 Create Date 04/23/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace garbage disposal of Work Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $200.00 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 04/23/2003 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 Plumbing pemit ~pli~tion DEPART~ENT OF ~ are: a co'ntra~ ~articl~atiau i~ ~he. P~rmiI~e~4ccou~LSw~e~,,,,~a~e adequate ~u~d~. ch~c~er~ Number of' Mxtares: T~ ~ ~ P~ _. _ w~ ~t. ~ ~ Fm Electric Contractor Use t Nature er~ork,, Si~e f~a~itary Sever Watc~ ~ 0.~ I'-tElec~c Instalhitlon Verification form attached