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0102034-Plumbing (interior)
OSHKOSH ON THE WATER Jab Addrese 3342 LOUISE CT Contractor P&S PLUMBING CITY OF OSHKOSH .o 102034 PLUMBING PERMIT - APPLICATION AND RECORD Owner CHADFFONYA HUISMAN Create Date 04/29/2003 Category 410 - Residential-Interior Plan Bathtub 1 Shower Whirlpool 0 Floor Drain Lavatory 2 Lndry Tray Toilet 2 LndryStndp __ Res. Sink I Disposal Bar Sink 0 Dishwasher Water Heater 1 Sump Pump Site Drain 0 Classrm Sink Roof Drain 0 Breakrm Sink 1 Ejector/Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 1 Water Soffner 0 Drink Ftn 0 ServSink 0 Soda Disp 0 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 1 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Iht Grease Trap 0 1 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 1 Beer Tap 0 SculrySink 0 Wash Ftn 0 1 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 1 Use/Nature NSFPJ of Work SanitarySewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Valuation $6,500.00 Plan Approval $0.00 PermitFees $84.00 Issued By Date 06/09/2003 [] Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature ~ ~ - Date ~ //~ Agent/Owner Address PO BOX2153 APPLETON WI 54913 - 0000 Telephone Number 734-3912