HomeMy WebLinkAbout0004826-Plumbing
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N~
04826
TYPE:
BLDG D HTG D ELEC D PLBG ø SIGN D ZONING - FLOOD PLAIN - HEIGHT-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- -- -- -- -- -- - - - - - - -- -- -- --.. - - - - - - ----
ADDRESS
5'/.:< 4 el/rJ/1 C?' l-/
, /u/ ¿
Ca t~-I- rr- ,.sO'
PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONrRACTOR
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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
bu-/ #~
PLUMBING CONTRACTOR
-I- BT --L WH
.:? Lav -L Sh
;Z WC -I- FDr
LSink +L'Ft>Q...
Other
-----.:. Disp _WSoft - CBasin
-/-DW _DF - San. Sewer
--t- SP -Ur - Storm Sewer
_Eject -SS _Water
FEES: Valuation $ ,;2~~ ~
ISSUED BY ~ ~
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Permit Fee Paid $ ø
Date ("
Park Dedication $
Final/OP. JRJ/87
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ad ¿J ~ 4(: -L2.j7
AGENT/OWNER
DATE
ADDRESS
T""EPHONE #
..~
ADDRESS 8//?¡ Nc!7!Jf:-SSe V
OWNER G;ae-buf...L Rusch /
PLUMBER I/Ja..+ters P/uVVlb/nj
OUTSIDE
NAIUREOFWORK
~PERMIT (I
ÕÝ-;;7{
n New Relay Repair (I n
~~n Søw I Bathtub Catch B.
~later ;;¡ La va to ry Grease T.
St. Sew ;¡ Toilet Sumo P.
""Inspection Date: I Sink Kit. Local Was te
Sink (other) Site Drain
Uó-rfJ 7/r;;7 / Shower I Laundry
e/~<?i¿¡l / Floor drain aundry tray
r Disposal W. Sonner
I Dishwas he r D. Fountain
I {,tJ.:¡,;fu- ße."'Þ"
**Violation notes on reverse side
INTERIO/;¡3tf'o
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