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OSHKOSH
ON THE WATER
Job Address 1515 GALWAY CT
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
LEGACY BUILDERS
Contractor VAN HANDEL, TOM CO.
Bathtub Shower
Whirlpool Floor Drain
Lavatory Lndry Tray
Toilet Lndry Stndp
Res. Sink Disposal
Bar Sink Dishwasher
Water Heater Sump Pump
Site Drain Classrm Sink
Roof Drain Breakrm Sink
Use/Nature
of Work NSF
Category 401 - Residential-Exterior (laterals)
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest Flr/Wst Sink
Bidet Exam Sink Catch Basin
Beer Tap Sculry Sink Wash Ftn
Dent. Oper. Hand Sink Urinal
Lab Sink Plaster Sink Standp Rec
Sterilizer Surgeons Sink Ice Maker
No 0052828
Create Date 06/03/96
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
jf 2-- 1CP
0<7
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
Conn. Type
Valuation
$1,500.00
Issued By
#
4
Plastic
Lateral
New
Date 06/13/96
4
Plastic
Lateral
New
Copper
Lateral
New
Permit Fees
$30.00
U Permit Voided
Signature
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Address
AgenUOwner
Oshkosh
Telephone Number
WI 54901 - 0000
Date
$
,.,
Plumbing Permit Work Card
Permit Number -gQflr:1nnn.:::{6;2 R"~ S?
Job Address
Owner
Category
",-
I htub
v1Ihirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
1515 GALWAY CT
LEGACY BUILDERS
401 - Residential-Exterior (laterals)
Create Date 06/03/96
VAN HANDEL, TOM CO.
Contractor
Plan
Value $1,500.00
Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lndry Tray Local Waste Wait. St. Shamp Sink ~'" Cpffee Maker
Lndry Stndp ~ Clothes Wshr Ice Chest Flr/Wst Sink Int drease Trap
Disposal Bidet Exam Sink Catch Basin Ext Grease Trap
Dishwasher Beer Tap Sculry Sink Wash Ftn
Sump Pump Dent. Oper. Hand Sink Urinal
Classrm Sink Lab Sink Plaster Sink Standp Rec
Breakrm Sink Serilizer Surgeons Sink Ice Maker
NSF
Sanitary Sewer
Storm Sewer
/"--
r
hater Service
Size
Material
Conn.Type
Type
#
4
Plastic
Lateral
New
4
Plastic
Lateral
New
Copper Lateral
New
Date
f~.
Type Inspector
U Approved
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