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0092957-Plumbing (water softener)
r � CITY OF OSHKOSH No 92957 OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 35 W NEVADA AVE Owner MILTON UDIANE HERSHBERGER Create Date 03/06l2002 Contractor CULLIGAN Category 410-Residentiai-Interior Plan Bathtub 0 Shower 0 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Whiripool 0 Floor Drain 0 Water Softner 1 Drink Ftn 0 Serv Sink 0 Soda Disp 0 Lavatory 0 Lndry Tray 0 Local Waste 0 Wait.St. 0 Shamp Sink 0 Coffee Maker 0 Toilet 0 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wst Sink 0 Int Grease Trap 0 Res.Sink 0 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 � Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Use/Nature FR/Installing water softener(rental) 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 $300.00 Plan Approval $0.00 Permit Fees $20.00 Issued By� Date 03/O6/2002 � Permit Voided! In the performance of this work,I agree to perform all work pursuant to rules governing the described construction. Signature Date AgenUOwner Address 405 PROSPECT AVE N FOND DU LAC WI 54937 -1498 Telephone Number 235-1490 MAR. 6.Z002 8�58AM CL�LIGArVMERMAID OSH N0.239 .1i2 City af Oshkosh ' � � Inspection S�rvices Division � P O liox !130 Oshkosh,Wt 5d903-1130 Phone:(9Z0)236-5050 (�1�u�O � Fax:(920)236-5084 U � � �N TWE WATEtt Plumbin Permit A lication 1 hereby apply fo�n pCrmit to do and insall the followin�plumbing on U�e premises hereinal�er described. the work to conform io�he Wiseonsin State Plumbi�g Code�in tbe perfoRnance of which all parties heteto agree�o and arc bound by said statutes. Re�u��� Job Address � �����M ,alue��.`� „ Date (.��-���2_ Owncr Contr�ctor — Q]Single Family ❑Duplex Multi-F'pmily �Rental Commercia! Qindustrial ' Numbc�of Fixtures: lir�htuh LnJry S�andp Dent.Oper. Sharrm 5ink ..,,,._ WhirlpuiH __ Diapus'rl D'Ip Well fir/Wat Sink I:JV:Il�11'y ,. Uixh�w,�sh�► _,� Drink Ft� Catch Ba�ui lw��i _. . �uinp Pump Wuii.ti�. wash Fu� Kcs.Smk _�__ I:j�Ywd�irinJ IcrChc�� Unnal Ilar tiHik ,,_ Wa�r Sul�n�r � Exam 5ink [;ar Dr�in wat�rr I I�v�er --— Lw;ol W�y�c ScWry Sink Saia D�sp tihi+w�� �_ t'1uih��Wxhr I(anU tiink Copcc M�kcr 1'Mwr L)rrin ^,, lhJcl ��I�fep 5ink Ic�Moker (nJry ffay U�Yt'���p $NN Slnk Siu Drain I�b 1�n► C'lastrrt+Smk Inl c;rcuy�7rop K,�1'�r,�in Pl;ul�r timk _ $u�g�hN�x 51nk t'zl tircawc 1'rap yWmip Itcc tii�h•dicrr _._ 13n•rkrm�mk Electric Contractor �t/ �A Use/Nature oi Work��,��C�'i.�r� / �,� ��� _ —�_ Size Maccnal Typc # Conn.Type Sanllory 5cwer Storm Sewer Water Service Cherk her�e ij�o►r wu�ic tl�is proe�ssed through your account [�