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0101643-Plumbing (remodel kitchen & bathroom)
OSHKOSH ON THE WATER ,Job Address 1201 WAUGOO AVE Contractor JNL PLUMBING Bathtub 1 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 1 Lndry Tray 0 Toilet 1 Lndry Stndp 0 Res. Sink 1 Disposal 0 Bar Sink 0 Dishwasher 0 Water Heater 0 Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner EDSEL LABILLOIS & LISA STEFFENS Category 410 - Residential-Interior Ejector/Grind 0 DipWell 0 F Prep Sink 0 Water Softner 0 Drink Ftn 0 Serv Sink 0 LocaIWaste 0 Wait. St. 0 ShampSink 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Bidet 0 Exam Sink 0 Catch Basin 0 BeerTap 0 SculrySink 0 Wash Ftn 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101643 Create Date 04/17/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work REMODEL KIT & BATH Valuation Issued By $1,600.00 Sanitary Sewer Size Material Type Storm Sewer Water Service Plan Approval $0.00 PermitFees # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $24.00 Date 05/20/2003 [] Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. S ignature/,/~~~ Date ~ ~ ,2~-- '/"~ Agent/Owner Address 1111 Minnesota Oshkosh WI 54902 - 0000 Telephone Number 232-7270