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HomeMy WebLinkAbout0006012-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 06012 TYPE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG 0 HTG 0 ELEC 0 PLBG,ð SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- OWNER ~:¡eIl::14c( PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK £1/""-,,,-"</ <qf2- //7~/;¿ ~!Þ»1 ¡'7j BUILDING CONTRACTOR Sq. Ft. # Rooms # Stories Height Occupancy Permit Size Foundation . Class of Const. H:!:ATING 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 P4 ¡J~-,,;> 6... BT --I- WH - Disp 2Lav - Sh ---'-- OW :?!-"wC ---'-- FOr --L SP + Sink ---I- L Tub - Eject Other _WSoft _OF - CBasin - San. Sewer _SS - Storm Sewer _Water _Ur FEES: Valuation $ ...2~ =- ISSUED BY ~ ~ a::Þ- Permit Fee Paid $ , i£ Date- /ðÞé<;4-? Park Dedication $ Final/O.P. '-1/ /4-/ß?A" , In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE"¿ Cd./ LJ ~ AGENT/OWNER df::.- {, 2-- 7-¡ I t;:'/1.-tek7 DATE ADDRESS TELEPHONE # PLUMBU¡G f?/8 ~:z ~L~ G~ meA/-/ J'r RELAY REPAIR SAN SEW I I I IF if WATER I r I . Bathtub Catch Basin ~TORM SEW T 1 ;;Z Lavatorv Grease Trap :z Toilet f Sum" PUnID INSPECTION DATE INSPECTION DATE ( Kit. Sink Local Waste b - !o!;,¡!ø Sink( other) Site Drain Shower { Laundry Stand Pipe Rfe,~ ¡//.Ai 2/((/ff I Floor Drain Laundrv Tray Disnosal Wat. Softner f Dishwasher D. Fountain ì Water Heater Ejector <. " TTrinals Future outlets ADDRESS OWNER NATURE OF WORK NEW Ú ;11 ~/r~ PERMIT AP.P.LICA.TI~ DATE -'IX:> PLUMBER (~Jf;-~ PERMITIÞ ótOI:¿ INTERIOR 1** Violation notes on the reverse side] - -------