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2003-Plumbing (water heater)
OSHKOSH ON THE WATER .lob Address 1217 S MAIN ST Contractor SOPER 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 TIM L/PATRICIA GROH 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 ClothesWshr 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 102186 Create Date 06/11/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap Use/Nature of Work SFR/RENTAL/ INSTALL NG WTR HTR 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 06/13/2003 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 2225 BURNWOOD DR Oshkosh WI 54902 - 0000 Telephone Number 426-2151 OSHKOSH ON THE WATER Job Address 1217 S MAIN ST Contractor SOPER 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 TIM L/PATRICIA GROH Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 Dip Well 0 F Prep Sink __ 0 WaterSoftner 0 Drink Ftn 0 Sen/Sink 0 Local Waste 0 Wait. St. 0 ShampSink __ 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink __ 0 Bidet 0 Exam Sink 0 Catch Basin __ 0 Beer Tap 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 No 102186 Create Date 06/11/2003 Plan 0 Gar Drain 0 0 Soda Disp 0 0 Coffee Maker 0 0 Iht Grease Trap 0 0 Ext Grease Trap 0 0 0 0 0 Use/Nature of Work SFP,/RENTAL/ INSTALL NG WTR HTR Valuation $450.00 Issued By ~ Sanitary Sewer Storm Sewer Water Service Size Material Type # Conn. Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Plan Approval $0.00 Permit Fees $20.00 [] Permit Voided J Date 06/13/2003 In the perfor~ance~ work, I ag~.~..~erform all work pursuant to rules governing the described construction. Signature Date TM Address 2225 BURNWOOD DR Oshkosh WI ~902 - 0000 Telephone Number 426-2151