HomeMy WebLinkAbout0006019-Plumbing
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~!
06019
TYPE:
BLDG D HTG D ELEC D PLBG Ø- SIGN D ZONING - FLOOD PLAIN - HEIGHT~
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.. - - - - - - --
ADDRESS
J!3¡!;~~~~¿
PLAN NO.-
OWNER
DESIGNER
USE/NATURE OF WORK
/U>A./}"p- ~'/ L ? ¿A/7-1 jL1
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
'.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type- Volts- Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
-I- BT
..2,. Lav
2-wc
-I- Sink
Other
f-WH
--I- Sh
íFDr
--f- L Tub
/~~I/~
-/ Disp
_DW
--'- SP
_WSoft
_DF
- CBasin
_Ur
-San. Sewer-
- Storm Sewer
_Eject
_SS
_Water
FEES: Valuation ~:-
ISSUED BY ;-
Permit Fee Paid $ ....5t(;.ß...
Date /~kÞ
Park Dedication $-
Final/O.p.~Ç-8JJ
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
lo/¿c./P?
DATE
ADDRESS
TELEPHONE #
PLUMBER
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& Co} &2,,1- ~. ß_U;~: !~
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PERMIT II
0(, Ole¡
ADDRESS
OWNER
NATUREOFWORK
d1£, (J S/::-
(26Q£)
OUTSIDE
INTERIOR
II .. New Relay Repair II II
San Sew Bathtub Catch B.
Water Lavatory il Grease T.
St. Sew Toilet /I Sump P. (
**Inspection Date: Sink Kit. Local Waste
Úe. lo/41<rr f3þljk d Ifid ¡~ Sink (other) Site Drain
r Shower I I Laundry
filef.;.-.J ph/57 JOWt~ I Floor drain Laundry tray
S'-ku. e Disposal W. Softner
I Dishwasq,er I D. Fountain
/tlÌ6vM"J I 1// Ifc'fh.- 1
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**Violation notes on reverse side