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OSHKOSH
ON THE WATER
Job Address 1580 GALWAY CT
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 0052729
Owner CLASSIC HOMES BY KUBA Create Date 06/05/96
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 Sink Wash Ftn
Hand Sink Urinal
Plaster Sink Standp Rec
Surgeons Sink Ice Maker
Contractor FOX VALLEY EXCAVATING
Bathtub Shower Ejector/Grind
Whirlpool Floor Drain Water Sonner
Lavatory Lndry Tray Local Waste
Toilet Lndry Stndp Clothes Wshr
Res. Sink Disposal Bidet
Bar Sink Dishwasher Beer Tap
Water Heater Sump Pump Dent. Oper.
Site Drain Classrm Sink Lab Sink
Roof Drain Breakrm Sink Sterilizer
Use/Nature
of Work NSF
Size
Material
Type
#
Conn. Type
Sanitary Sewer
4
Plastic
Lateral
New
Storm Sewer
4
Plastic
Lateral
New
Water Service
Copper
Lateral
New
Valuation
$1,500.00
Permit Fees
$30.00
Issued By
Date 06/07/96
U Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address 1551 WESTHAVEN CIRCLE
Agent/Owner
Oshkosh
WI 54904 ~ 0000
Telephone Number