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HomeMy WebLinkAbout0037170- Plumbing (Connect to City) N2 37170 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT 21 ^ ADDRESS /CO , (.._ PLAN NO. OWNER /// /-/ • ! - DESIGNER i USE/NATURE OF WORK / ...cii- /41 — 7-4--Ze----a-i2—---f-o-c-cb-z--&-el, ,(Z- --7-,-k-- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit , HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S r ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer .1' Sink LTub Eject SS Water— Other / — © Si' a� �!/� FEES: Valuation $ 12g0. O 0 Permit Fee Paid $ "5 , c. o / Park Dedication $ ISSUED BY Date lam//"7_' Final/O.P. "Z5-13 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. (1)( SIGNATURE t �` r" UAGENT/OWNER DATE ADDRESS TELEPHONE# ' ,,j PLIIMBING PERMIT APPLICATION ADDRESS /o o DATE -3 PEBMZT# 3 7/70 OWNER =7fPLUMBER 6-- if - - G NATURE OF WOES (�.—s- -rt ?--/(/ — /% , ' — / / A / NEW RELAY REPAIR INTERIOR SAN SEW 1 I # # WATER ( Bathtub Sump Pump STORM SEW! 1 Lavatory Ejector Toilet Water Softener INSPECTION DATE INSPECTION DATE t Kit. Sink Drinking Fountain Sink(other) Urinal , , R / 8//0 , Shower Slop Sink Shower Grease Trap /� /�y� Floor Drain Local Waste / / / Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin (612,ZigRi (). --/11- --2e o. ,,,,,zisti,Lts...9., ,* Violation notes on the reverse sidet f 3) 5