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HomeMy WebLinkAbout0005328-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 05328 TYPE: BLDG 0 HTG 0 ELEC 0 PLBGtØ. SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS ~2~î:A:k ::1' PLAN NO. OWNER DESIGNER USE/NATURE OF WORK 5"""'-2.--' _~A- ~ ~Ú4? £--- BUILDING CONTRACTOR Size Foundation f Sq. Ft. # Rooms # Stories Height Occupancy Permit 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 \ lrh/U/ ,~ PLUMBING CONTRACTOR _BT _WH -Sh _Disp _DW _WSoft _DF - CBasin -{san. Sewer c(~I"',¡/'C- + Storm Sewer yo. ft'¿ ..1....- Water I ¿, r "¡"it';)7/-- _Lav _WC _FOr _LTub _SP _Ur _Sink Other _Eject -SS FEES: Valuation ~~ ~ ISSUED BY ..../ / i-- _' Permit Fee Paid $ ".2:;~ Date ~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE I><... ~ ~ . (J'~' '-v AGENT/OWNER? DATE ADDRESS TELEPHONE # NATURE ,¿;r/ -f:. lip PLUMBING PERMIT APPL~N ~ Cr/ CU,-, f-/<;~,"J- ~~:m~R ,,' !fjJ/)1 'J ýA A/ :AERMITiF OF WORK ,y-~/ ð- sf NEW RELAY REPAIR ~~ ADDRESS OWNE R SAN SEI, I "'fA ¡/vl I I iF iF WATER I'" ('~,""'- I I Bathtub Catch Basin ~1'ORM SEW I Li..' ",;d. I Lavatory Grease Trap Toilet Sumo Pump INSPECTION DATE INSPECTIÐN DATE Kit. Sink Local Waste / V(1f (flfi/ce f,;:"" Sink( other) Site Drain Shower Laundry Stand Pipe ~~ Floor Drain Laundry Tray DisDosal Wat. Softner Dishwasher D. Fountain Water Heater Ejector T1rinals Future outlets INTERIOR I-<-k Violation notes on the reverse side)