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0096469-Plumbing (misc interior fixtures)
� � , � CITY OF OSHKOSH No 96469 = � OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1005 E NEW YORK AVE Owner HOWARD C M JONES/GABRIELE EHRES Create Date 08/07;2002 Contractor RASMUSSEN PLUMBING Category 410-Residential-Interior Plan Bathtub 0 Shower 1 EjectoNGrind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whirlpool 0 Floor Drain 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 1 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 1 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FINWst Sink 0 Int Grease Trap 0 Res.Sink 1 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 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 Use/Nature FR/Replace lav,toilet&KS in same location-Change tub to shower. - of Work Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Valuation $2,000.00 Plan Approval $0.00 Permit Fees $24.00 Issued By `��, Date 08/07/2002 � Permit Voided I In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date AgenUOwner Address 1914 GREENBRIAR TRL OSHKOSH WI 54904 -8887 Telephone Number 920-233-6747 { 08/07I2002 07:11 2336747 J RASMU55EN PAGE 01/01 , + • ; � Ci.ty of Oshkosh � ��,.gpECZinn Services I>ivis�o+.� p o»ox �13� �j Oshko:h,Wt S�l�O_;-113Q —i`� � I }��)AC1C: �Q����.�h-��SQ " qni TI•iF WA .R Fax'(92Q123�-gOR�� Plumb�ng Permit ARplicatio�n � co do aad.in�cali che followi»�pi►�robing an cl�e prcmiae�h���a'�fter de;scriUed,tiu woxk to conform to the . 1.hercby'�PPIy fot a��r�n�� .ccattsi►i State Pbambii��C:ode,in.the pe�oTTx►anSe�f q�.+.ch all parries heroto ag�•�tc�and are bottnd by 3nid s��nt�`+. W� ' q wrilt res►ilt in feec beii�g daubled ar�$100.b0 Plus the � licatian e)and.fee(s�can l�hrov�eh�.to City Hall,Rnott�ZOS or mailcd to Inspe.etian ScTVicec,PQ Box ).128, A�p ( ()chkosh W� 54943-1 1 2$. Comme��cin�work without pex7m .(. ) n��a,��Si�at fee,which ev�r is p�'eater. OR Ac.'�.1.nL_S.�!�.an� Izg�w�od�L.4��L''�.iLds.������-�-re �,r� n�e cn,ritrartn►'_L�rti.r��lin�xn►h�� !'E►7.!�i� 1._L.--••� �-- � r Is n re h u► c co a»_t._. .�'._�..__�- 1LC��A ,vanr..rbi,���'�ssed._�t:_�-3` 6..�Z D o 0 �`�_ �� Date D 4S �. IV� u�K V��l]f(IntludinR lnlx�r and mntenxlv�._._.� - ,Iob A.dd.r�ess._I �_�.^...—.-- -T /� S�,, �� , y d�- , fia r'�} �Ca�akract�o�' _..,i 1�R.S Yh�S� ; t_____--_—' Owner __� — ----�..—.�_� Com��c�r�ci�l Qindustrial ' Sit�Rle Fsnn�ii,y [�,]��Pt�� QMait�-Fa�il.,y [�R�n�tsl ❑ Numl�er ni 1+ix�tu�es: s�,�,s�hk, S�s,a Den,.(�?er. �..__.., ga,hiti.in _�_.. Lndr}.. h' � J__,. Fir/i1�st Sink — n�.�,�,;,� _.__y_ n��w�n _�.� ;: Wfiittfu`ul _ ..�-. Dri�ik�tn _,.__.. C;tt�h Bnsin z (iv�uxY ��._. DiShw�sheT - - _�� IVP�h FM • Waik:•t. 'Coi1r� 3u�tp Futt+p .--- _J _ Urinnl � . .�—. kr.Chcsl Rr.a.Siak _.__.L..._ TjectorlC�rinri ._— ._�.— Gsr L�raln ----- F..xam qink. s E�ar 5ink �—..� Ware��5a(n,tt --°— --- S�n Di�P ;: $culr��Sink ; L<tc�l Was1c --^ -- !'pfft1.�Iblalter —.r-- Wau+r F{��.Icr _----- I•lAnd Siok �._.., i�(;a1 f:r.tc��.�-rWrvn; �t�the�Wshr ...___.— Icc Molcrr r r�cv stT.k _ ---� Showcr . __�.:._ Fidet _--�— g�aLka+n --�----•- Sr.rv��nk _.,_---. Flcx�r l�rain __..--_ Rcnt'!ng _.—.._._ Roof L�rai� �--- Int Gten�c Trap ..—•.._ I.adrv T'inY _.— C'lassrm Sink ._...--- Srandp Tu.c — L�h Sjnlc _— 5urgenn•.$ink C.•,xc Gcen�r,Tnp __�—...,_ ('IaSler Sink _..--__ Flrcakt*n Sink __.,--- $Igrili7.ct� .----••-� _ ' pR [�Elect+riic InStallst�dv 'Vexit'ie�ti�t� �'oxtn� at7tached Flectric C:on�tXact.or ,.-----'.—�—� �irrtep��«+,���� 4b S ��_s�!r�- ���,�� ,:;.. ��-"��—� Use/i�ta.ture of Woxk_�..��B.�t—�—"i—'�a'�"'��-�-.,__. � • �, �--^--_-----r�_. J -�..d � �,��.�01� -- •--_ --- __-�.�,� Y +Conn..Type -----•-----�--�— Sara Iy(n�xiat T Sa�nit:�ey iewcr Stann Scwer Wa.t�r.Scrvice_... _ - �-------------•--• - —� _,. 3/07.