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HomeMy WebLinkAbout0047116-Plumbing (laterals) ~. YO/ CITY OF OSHKOSH N~- - 47116 PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING - FLOOD PLAIN - HEIGHT- :"::~ .... ..... .ifi~;¡~~C..... ......... .;~~~..... ...... DESIGNER USE/NATURE OF WORK /l/sp ~ () ~Z:-$ ð,u7 ~ BUILDING CONTRACTOR Size Sq. F!. # Rooms # Stories Height Occupancy Permit Foundation Class of Cons!. HEATING CONTRACTOR Heat 0 NC 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 #' r '/w~~ß~ G..A{-c _BT _WH _Sh _Disp _DW _WSoft _DF -CBasin eve.. /é i San. Sewer f 1f;- ~~¡ . _Storm Sewer L Water 111'f C!...",- _Lav _WC _FDr _LTub _SP _Ur _SS _Sink _Eject Other FEES: Valuation $ '1 f) '" . ð ð ISSUED BY ~~ Permit Fee Paid $ / .,.2 ().o 0 J Park Dedication $ Final/O.P. Date 7-($ -:7s In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ¿Jnl / , ::Jry ~~ EÛ!M~ ImM ~ AGENT/OWNER ,/ ADDRESS 7 if 2-- 2IJrfb./ ¡JA/(/Y'M../,- {!Y.~- .tß- '1/;:J-A S- DATE S¥7tJ/ 233-633; TELEPHONE. Job Address OWner . ""tegory "thtub Whirlpool Lavatory Toilet Res. Sink Bar Sink Water Heater UselNature of Work 1810HICKORYLN EDNA V DOEMEL Plumbing Permit Work Card P~mitNu.mber -- ~7//6 Create Date 09/12/95 Cóntractor FREDERICKSON, GENE TRUCKING & E 401 - Residential-Exterior (laterals) Plan Value $900.00 Shower Ejector/Grind Dip Well F Prep Sink Grease Trap Floor Drain WaterSoftner Drink Ftn Serv Sink Receptor LndryTray Local Waste Wait.St. Shamp Sink Other Lndry Stndp ClothesWshr Ice Chest FlrlWst Sink Disposal Bidet Exam Sink Catch Basin Dishwasher Beer Tap/Soda Sculry Sink Wash Ftn Sump Pump Dent. Oper. Hand Sink Urinal NSF OUTSIDE PLUMBING OWNER: ROBERT & NAN DEVERMAN BLDR: FOX CITIES CONST Sanitary Sewer Conn.Type Storm Sewer >_.ter Service Size Material Type # 4 Plastic Lateral Relay 11/4 Copper Lateral New Date Type U Approved I Inspector r---