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CITY OF OSHKOSH No 0056400
OSHOSH PLUMBING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 105 ROLLING GREEN CIR Owner CONTEMPORARY HOMES INC Create Date 10/03/96
Contractor P &S PLUMBING Category 410 - Residential- Interior Plan
Bathtub 2 Shower 1 Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain 1 Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory 4 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet 4 Lndry Stndp 1 Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res. Sink 1 Disposal 1 Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher 1 Beer Tap Sculry Sink Wash Ftn
Water Heater 1 Sump Pump 1 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 NSF
Size Matenal Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Valuation $5,200.00 Permit Fees $72.00
Issued By Date 01/13/97
Li Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature /-j , sSy o Date
Agent/Owner
Address PO BOX 2153 APPLETON WI 54913 - 0000 Telephone Number 734 -3912
Plumbing Permit Work Card
Job Address 105 ROLLING GREEN CIR Permit Number 0056400 Create Date 10/03/96
Owner CONTEMPORARY HOMES INC Contractor P &S PLUMBING
Category 410 - Residential- Interior Plan Value $5,200.00
htub / 2 Shower t 1 Ejector /Grind Dip Well F Prep Sink Gar Drain
Whirlpool Floor Drain / 1 Water Softner Drink Ftn Sery Sink Soda Disp
Lavatory 1 / / 4 Lndry Tray Local Waste Wait. St. Shamp Sink Coffee Maker
Toilet / / / 4 Lndry Stndp l 1 Clothes Wshr Ice Chest Flr/Wst Sink Int Grease Trap
Res. Sink / 1 Disposal / 1 Bidet Exam Sink Catch Basin Ext Grease Trap
Bar Sink Dishwasher / 1 Beer Tap Sculry Sink Wash Ftn
Water Heater t 1 Sump Pump / 1 Dent. Oper. Hand Sink Urinal
Site Drain Classrm Sink Lab Sink Plaster Sink Standp Rec
Roof Drain Breakrm Sink Serilizer Surgeons Sink Ice Maker
Use /Nature
of Work NSF
Size Material Type # Conn.Type !
Sanitary Sewer
l -//-7
Storm Sewer 0 6-- 3/ I s y 7
2 /i-g /T
..cer Service
Date Type Inspector u Approved
Ve/I
1