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HomeMy WebLinkAbout0101122-PlumbingOSHKOSH ON THE WATER .lob Address 1130 N WESTFIELD ST Contractor RASMUSSEN PLUMBING Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 2 Lndry Tray Toilet 2 Lndry Stndp Res. Sink 1 Disposal Bar Sink 0 Dishwasher Water Heater 0 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD Owner EVERGREEN MANOR INC Category 440- Industrial-Interior 0 Ejector/Grind 1 Dip Well 0 F Prep Sink 0 1 WaterSoftner 0 Drink Ftn 0 ServSink 0 0 Local Waste 0 Wait. St. 0 ShampSink 0 0 ClothesWshr 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 1 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 101122 Create Date 04/29/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work Evergreen/addition in basement - 2 baths, 1 floor drain, 2 pit, 1 kitchen sink for day care. Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $4,000.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $48.00 Date 04/30/2003 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 84/38/2083 87:83 2336747 J RASMUSSEN PAGE 01/04 92,,0-236 '" ¢" · " Pk~mbing Permit Application ]. he~b~ apply Jro~ ~ p~m.t t~ d,~ ~nd i~']~taiI ;be 'rollo~ phm~%t~; on ~e p~e~,~e~ hc.~:h~a~t~r 8~c~b~d. the w~tk