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HomeMy WebLinkAbout0003654-Plumbing (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ _03654 TYPE: BLDG D HTG D ELEC D PLBG & SIGN D ZONING - FLOOD PLAIN - HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS ;¿fCJZ:Z7¡;.:t ~ ~,,<O OWNER DESIGNER USE/NATURE OF WORK ,Wn/( /. " -<'/HJ~ ~/V7A~~ /4~/¿¿{ /.o~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR H~t D NCD Vent D Fuel/System Heat Loss BTU'S ELECTF\ìê CONTRACTOR Electric Servo Fixtures New D Change D Temp D Type- Volts- Amps- Switches Receptacles Circuits PLUMBING CONTRACTOR -I- BT ...L WH ..6..Lav - Sh ¿ WC -!- FDr -!-L~ &/J/L 1/4 _Dlsp _DW -I- SP _WSoft _DF - CBasin - San. Sewer _Ur - Storm Sewer _Water -/-- Sink Other _Eject _SS FEES: valuatio~ ól) ŒŠ>--- ISSUED BY A~~ / <; ~,/ Permit Fee Paid $ ~ 4 ~ Date ' .?, 7 Park Dedication $- Flnal/O.P. 3'//3// J In the performance of this work I agree to perform ail work pursuant to rules governing the described construction. SIGNATURE ~~¡¿&,t-VJi/' )7J¡a ø ~J; . AGENT/OWNER DATE ADDRESS TELEPHONE # NAME OF OWNER ßt- .!r-U/o /ûc.h> NEW PLUMBING PERMIT APPLICATION DATE 6//1 ~ ADDRESS ~3() Î A-ik~ 'i?-6/ Ih:Vlll/-fYj/ 03~5'f PLUMBER SAN. WATER STORM Main to Curb Curb to BId. Re air NEW REP. NEW REP. NEW REP. Bath Tub I Gar. Disposal Catch Basin Wash Basin Dishwasher Conductors Water Closet "'- Laundramats I Grease C.B. .Sink Water Softener Sump Pump I Water Heater San. Bubblers Bar Wastes Shower Bath Urinals Range Boiler Floor Drain , Dental Cuspidors Future Outlets