HomeMy WebLinkAbout1990-Plumbing (fixtures)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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21262
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Ciass of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuei/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
i::lectric Serv,
New D Change D Temp D
Type- Voits- Amps-
Fixtures
Switches
Receptacies
Circuits
PLUMBING CONTRACTOR ~~
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_Disp
_WSoft
_DF
- CBasin
w.lk
_DW
_SP
- San. Sewer
-Ur
- Storm Sewer
_Sink
_LTub
_Eject
_SS
_Water
Other
FEES: Vaiuation $
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Permit Fee Paid $ / ;:2.. <!> '"
Date /o/..z.?/>?.
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Park Dedication $
ISSUED BY
Final/O.P.
In the performance of this work I agree to perform ail work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ?z!¡fJ
ADDRESS
TELEPHONE #
PLUMBING PERMIT APPLICATION
ADDRESS
OWNER
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DATE
PLUMBER
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NATURE OF WORK
SM! SEW I I I 1 iF iF
WATEr: I I I I I Bathtub Catch Basin
STORM SEW' 7 Lavatorv Grease Trap
.. I ToilÚ Sump P1.Imp
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
,AJòH ~3/ /7/ Sink(other) Site Drain
Shower Laundry Stand p1pe
Floor Drain Laundry Tray
Disposal Wa t. Softner
Dishwasher D. Founta1n
Wa,tèr Hea ter Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sideJ
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