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CITY OF OSHKOSH 102605 No OSHKOSHPLUMBING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address1005 MARWAY CTOwnerROBERT A/MISHAW DOEMEL JRCreate Date07/02/2003 ContractorKOCH PLUMBINGCategoryPlan 410 - Residential-Interior Bathtub1Shower1Ejector/Grind0Dip Well0F Prep Sink0Gar Drain0 Whirlpool1Floor Drain0Water Softner0Drink Ftn0Serv Sink00 Soda Disp Lavatory52Local Waste0Wait. St.0Shamp Sink00 Lndry TrayCoffee Maker Toilet00Clothes Wshr1Ice Chest0Flr/Wst Sink0 0 Lndry Stndp Int Grease Trap Res. Sink10Bidet0Exam Sink0Catch Basin0 Disposal0 Ext Grease Trap Bar Sink010Wash Ftn0 Beer Tap0Sculry Sink Dishwasher Water Heater110Urinal0 Sump PumpDent. Oper.0Hand Sink Site Drain000Standp Rec0 Classrm SinkLab Sink0Plaster Sink Roof Drain000Ice Maker1 Breakrm SinkSterilizer0Surgeons Sink Use/Nature SFR/ Finish plumbing installation. of Work SizeMaterialType#Conn. Type Sanitary Sewer0 0 0 0 0 Storm Sewer0 0 0 0 0 Water Service0 0 0 0 0 $0.00 Valuation$4,800.00Plan ApprovalPermit Fees$96.00 Issued ByDate07/03/2003 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Date Signature Agent/Owner Address2005 DOTY STOSHKOSHWI54901-0000Telephone NumberBUTCH (C)379-8753