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0101793-Plumbing (water heater)
OSHKOSH ON THE WATER Job Address 107 W 11TH AVE Contractor LUDWIG 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 KURT L/CYNTHIA MEIER Category 411 - Residential-Water Heaters 0 Ejector/Grind 0 DipWell 0 F PrepSink 0 0 Water Softner 0 Drink Ftn 0 ServSink 0 0 LocaIWaste 0 Wait. St. 0 Shamp Sink 0 0 Clothes Wshr 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 101793 Create Date 05/28/2003 Plan Gar Drain Soda Disp Coffee Maker Int Grease Trap Ext Grease Trap 0 0 0 0 0 Use/Nature of Work INSTALL 40 GAL NG WTR HTR 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 Valuation $400.00 Plan Approval $0.00 PermitFees $20.00 Issued By Date 05/28~003 [] Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 1903 ASHLAND AVE OSHKOSH WI 54901 - 0000 Telephone Number 231-5770