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OSHKOSH
ON THE WATER
Job Address 1540 GALWAY CT
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner
TEMPO DEVELOPMENTS
Contractor
FOX VALLEY EXCAVATING
Category 401 - Residential-Exterior (laterals)
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind Dip Well F Prep Sink
Water Softner Drink Ftn Serv Sink
Local Waste Wait. St. Shamp Sink
Clothes Wshr Ice Chest FlrlWst 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
NSF OUTSIDE PLBG
No 0052096
Create Date 03/13/96
Plan
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
Sanitary Sewer
Storm Sewer
Water Service
Size
Material
Type
#
Conn. Type
New
New
Issued By
Valuation g-OO.OO ~
4
Plastic
Lateral
Date 05/07/96
4
Plastic
Lateral
1 New
o
Copper
Lateral
Permit Fees
$30.00
U Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Address 600 S. MAIN ST
Agent/Owner
Oshkosh
WI 54901 - 0000
Telephone Number 231-4920
Date