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0101818 P
OSHKOSH ON THE WATER .lob Address 901 JACKSON ST Contractor Bathtub 0 Whirlpool 0 Lavatory 0 Toilet 0 Res. Sink 0 Bar Sink 0 Water Heater 1 Site Drain 0 Roof Drain 0 CITY OF OSHKOSH PLUMBING PERMIT - APPLICATION AND RECORD LEHR HEATING AND PLUMBING INC Owner STEVEN/ANDREW J KEMPS Category 410 - Residential-Interior Shower 0 Ejector/Grind 0 DipWell 0 F Prep Sink 0 Floor Drain 0 Water Soffner 0 Drink Ftn 0 Serv Sink 0 Lndry Tray 0 LocalWaste 1 Wait. St. 0 Shamp Sink 0 Lndry Stndp 0 ClothesWshr 0 Ice Chest 0 FIr/Wst Sink 0 Disposal 2 Bidet 0 Exam Sink 0 Catch Basin 0 Dishwasher 2 Beer Tap 0 Sculry Sink 0 Wash Ftn 0 Sump Pump 0 Dent. Oper. 0 Hand Sink 0 Urinal 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Breakrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 No 101818 Create Date 05/29/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work XTRA FXTS TO PERMIT 100356 Valuation Issued By Sanitary Sewer Storm Sewer Water Service Size Material Type # $750.00 Plan Approval $0.00 Permit Fees Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $36.00 Date 05/29/2003 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 PO BOX36 Wautoma WI 54982 - 0000 Telephone Number 920-787-3426 OSHKOSH ON THE WATER Job Address 901 JACKSON ST Contractor LEHR HEATING AND PLUMBING INC Bathtub 0 Shower 0 Whirlpool 0 Floor Drain 0 Lavatory 0 Lndry Tray 0 Toilet 0 Lndry Stndp 0 Res. Sink 0 Disposal 2 Bar Sink 0 Dishwasher 2 Water Heater I Sump Pump 0 Site Drain 0 Classrm Sink 0 Roof Drain 0 Breakrm Sink 0 CITY OF OSHKOSH PLUMBING PERMIT -APPLICATION AND RECORD Owner STEVEN/ANDREW J KEMPS Category 410 - Residential-Interior Ejector/Grind 0 Dip Well 0 F Prep Sink 0 WaterSoftner 0 Drink Ftn 0 Sen/Sink 0 LocaIWaste 1 Wait. St. 0 Shamp Sink 0 CIothesWshr 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 101818 Create Date 05/29/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work XTRA FXTS TO PERMIT 100356 Valuation Issued By Sanitary Sewer Storm Sewer Water Service $750.00 Plan Approval Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $0.00 Permit Fees $36.00 Date 05/29/2003 [] Permit Voided J In the performance of this work, I_agree to perform all work pursuant to rules governing the described construction. Signature L/ Agent/Owner Address PO BOX36 Wautoma WI 54982 - 0000 Telephone Number 920-787-3426