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OSHKOSH
ON THE WATER
Job Address 1550 GALWAY CT
Contractor
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Use/Nature
of Work
CITY OF OSHKOSH
No 0052100
PLUMBING PERMIT - APPLICATION AND RECORD
Owner JEFF AND DEBBIE TEETZEN Create Date 04122/96
Category 401 - Residential-Exterior (laterals) Plan
Dip Well F Prep Sink Gar Drain
Drink Ftn Serv Sink Soda Disp
Wait. St. Shamp Sink Coffee Maker
Ice Chest FlrlWst Sink Int Grease Trap
Exam Sink Catch Basin Ext Grease Trap
Sculry Sirik Wash Ftn
Hand Sink Urinal
Plaster Sink Standp Rec
Surgeons Sink Ice Maker
FOX VALLEY EXCAVATING
Shower
Floor Drain
Lndry Tray
Lndry Stndp
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Dent. Oper.
Lab Sink
Sterilizer
NSF OUTSIDE PLBG
..
Size Material Type # Conn. Type
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer 4 Plastic Lateral 1 New
Water Service 1 Copper Lateral 1 New
Issued By
Valuation ~OO,CO.$e:ea-
Date 05/07/96
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.
Date
Agent/Owner
Oshkosh
WI 54901 - 0000
Telephone Number 426-5610
Address 1013 ADAM ST