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CITY OF OSHKOSH No 0054726
OSH OSH PLUMBING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2710 KILLARNEY CT Owner TEMPO DEVELOPMENTS INC Create Date 07/25/96
Contractor FOX VALLEY EXCAVATING Category 401 -Residential-Exteri or (laterals) Plan
Bathtub Shower Ejector/Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain Water Softner Drink Ftn Serv Sink Soda Disp
Lavatory Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet Lndry Stndp Clothes Wshr Ice Chest FIr/Wst Sink Int Grease Trap
Res. Sink Disposal Bidet Exam Sink Catch Basin Ext Grease Trap ',
Bar Sink Dishwasher Beer Tap Sculry Sink Wash Ftn
Water Heater Sump Pump Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Sterilizer Surgeons Sink Ice Maker
Use/Nature
of Work
P,
~'
ize a ena ype onn. ype
Sanitary Sewer
4 Plastic Lateral 1 New
Storm Sewer 4 Plastic Lateral 1 New
Water Service 1 Copper Lateral 1 New
s
Valuation $900.00
Issued By
Permit Fees $30.00
ermi of e
Date 09/25/96
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 600 S MAIN 3RD FLOOR Oshkosh WI 54901 - 0000 Telephone Number