HomeMy WebLinkAbout1994-Plumbing (install city sewer & water - outside) ���
CITY OF OSHKOSH N° 37650
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PERMIT APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�' SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS `��6 0✓��Y!
PLAN NO.
OWNER � �
DESIGNER
USE/NATURE OF WORK � � � G� `
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
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR ��G�rY1l'Yt-[)�'l/J
—BT —WH —Disp _WSoft _CBasin 1
—.Lav —Sh _ •� ��� f.
�W —DF �San. Sewer / !��
—WC _FDr _SP _Ur _Storm Sewer
—Sink _LTub _Eject _SS �Water ��c
Other
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FEES: Valuation $� �S�• � a Permit Fee Paid $ � �� � a Park Dedication $
ISSUED BY � Date � Final/O.P. /3/I/9.�
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE � ,�
AGENT/OWNER
DATE
ADDRESS
TELEPHONE N
T�Z
PL�ING PEBMI? APPLIC�TION
' annxEss ��C � � i-z/�/S_� ��z� �7G S"0
o�wx�a � �--G pr.u�r�
xaToaE oF Waa� S� -- C�
NEii RE7.AY BEP R INTERZ08
SAN S'EW tI�- # #
' 'WATER Bathtub Sum Pu
I.avito Ej ector
'� Tailet Water Softener
SPE ON DA1E INSPECZZOIq DA1E Kit. Sink Drinkin Fountain
Siak(other
� �/,�/ �/�/ �, /�� W te heater Slo Sink
4''(✓ ease Tra
Floor Drain Local Waste
Laundry Tu Site Drain
Dis osal Laundr Stand i e
Dishwasher Catch Basin
** Viclaticn no�•. on the reverse �ide