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0047308-Plumbing (interior)
~' LI/O N~ - 47308 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC 0 PLBG Od SIGN 0 ZONING - FLOOD PLAIN - HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - -- ADDRESS IClll'J t-\¡c..,"t:Dr~ hh. OWNER (dYì()' V Ì)ÖP YY)P I PLAN NO. DESIGNER USE/NATURE OF WORK f\J~ç I TJf\<1.;Q.}~ fJ/LlXY)b¡'nj BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR K 0(' 'n -L BT ;;L WH 15LaV 11 Sh lwc -LFDr -L~' ~LTub Other l \Û~'\(I reo I 'Plum bi~- -L Disp -Low -Lsp _WSoft _OF - CBasin c - San. Sewer _Ur - Storm Sewer _Water -Eject _SS ) 1 i 1ì.C'J('~ ~~ P ,I Lo('ð.1 j¡)as Ie., /' FEES: valZ~ ~ Z ~ $ q (0 _/ ~- Park Dedication $ ISSUED B Date 9 ;¿ J-- 9' S Final/O.P. 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. Job Ad,dress "1810 HICKORY LN Plumbing p~rmit~~rk Card ~ P",,",ih4u,~bef ~ 4731!) Create Date 06/05/95 Owner EDNA V DOEMEL Contractor r P'tegory 410 - Residential-Interior Plan KOCH PLUMBING "thtub I I Shower Ifl .L-. Ejector/Grind Dip Well Whirlpool I ~- Floor Drain I ( Water Softner Drink Ftn Lavato~ 1 F Lndry Trayl/ :3 Local Waste I ~ Wait.St. - Toilet 1\ II ~ Lndry Stndp I ...L Clothes Wshr Ice Chest Res. Sink I I Disposal! ...L Bidet Exam Sink - Bar Sink Dishwasher/ .-L Beer Tap/Soda Sculry Sink Water Heater I '-L Sump Pump/l ..L.... Dent. Oper. Hand Sink Use/Nature of Work [ NSF INSIDE PLUMBING OWNER: ROBERT & NAN DEVERMAN BLDR: FOX CITIES CONSTRUCTION F Prep Sink Serv Sink Shamp Sink FlrlWst Sink Value I~O.DcJ~ Grease Trap Receptor Other Catch Basin Wash Ftn Urinal ~ Ize onn. ype Sanitary Sewer f~J RI 9-?O-9~ ß ~ b-Ct~~ L" LJJ) Storm Sewer .- r (1- rl -75' ,-, bf'P- ^--r ".lerService ~ ,-::, Q - ~ w.L~ t-~~~f'ffJPF Date Type Inspector I ¡ Approved I ~ I it /few, (f ßt.L J'.~A..Vf"{:t~rFkUV{~JJI ~){'5 ~ VI? L í'" J- " ~