HomeMy WebLinkAbout1994-Plumbing (connect to city sewer & water - interior) /7 �
CITY OF OSHKOSH N° 37629
� PERMIT - APPLICATI N AND
O RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
OWNER ��' �
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
' HEATING CONTRACTOR
r Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
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ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR � -��
—BT _WH _Disp _WSoft —CBasin �
—Lav —Sh —DW _DF —San. Sewer
—WC _FDr —SP _Ur —Storm Sewer
—Sink �LTub Eject � _SS —Water
Other — '
FEES: Valuation $ �^�C�� �� Permit Fee Paid $ ��- �` � Park Dedication $
ISSUED BY_�� Date � � � Final/O.P.�� �a—
In the performance of this work I agree to perform a�l work pursuant to rules governing the described construction.
SIGNAT R ���`�'� � �
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AGENT/OWNER DATE
ADDRESS
TELEPHONE N
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NEUT RELAY SEPAIR ZNTERI08
SAN SEW - � #
�TATER Hathtub
Sum Pu
�y Lavato Ej ector
Toilet Water Softener
E��� �TE 21QSPECTZ�N DA� Rit. Sinlc Drinkin Fountain
4 �; /, Siak(Other
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�� /`�` j 1 W te heater Slo Sink
� ' � ,��- G ease Tra
'� -�5��'_�� Floor Drain Local Waste
�1�2 ,�.s Laundry Tu Site Drain
��� Dis osal
( Laundr Stand i e
Dishwasher Catch Basin
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