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Home My WebLink About0101616 POSHKOSH ON THE WATER ,Job Address 315 MASON ST 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 MICHAEL L/ANNE LILLIE 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 101616 Create Date 05/19/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature SFR/Replace gas water 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 05/19/2003 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 ~ 05/~9/2003 i0:54 2336747 J RASMUSSEN PAGE 01/01 9£10 ,... ~. 3 6 -50a4 pllurnbing Permit Application I hereby, ~ .......... , Osl:,k.esh W} 54903-1128, (",ommenci~ wm:k wi0a~;,ut pc~uni~(a) ~[ll rc~ul.t in :fees bring doubled or S100.00 pit. thc ~,~n~{ ~m~it {ce, which ever O~. ~ ~ - ~' ......... ~; ~,tn~ a~t'}~l~' t'it~i.~, .,~2L~.-~S-~- ~ , .ct.,. eorl~C/n~t/n~r~}~dr~~.(~[L[-~'-4~"~ ................. "'"~ ............. ' .............. ~' ,~- t2'C ~ dO~}:"[~;~~~ ....... ~p Wc~ ........... ~}nk ~ ........... lee Chcsl E~ Sink ................ [~Electrl~ ln.sta{l~to~ 'Verifie~fi~ ~orm W*.te~ S ervt.c,e .......................................................................................................