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HomeMy WebLinkAbout0007775-Plumbing (laterals) (t) CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 07775 TYPE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG 0 HTG 0 ELEC 0 PLBG iØ-SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- OWNER ~ 6I1::h~~ /1. PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK -s-~- - .¡, . S<2 (...- 4- L.Á---6-~ / ~UILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height , Occupancy Permit Ciass of Canst. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Fixtures New 0 Change 0 Temp 0 Type - Voits - Amps- Switches Receptacles Circuits -- PLUMBING CONTRACTOR 7~J _WC _FDr _LTub _DW _SP _Ur - CBasin /, --f-san. Sewer </ ¡OVe + Storm Sewer -<jL// /"I/C -{-water //f <"r~ _Lav _WH _Sh _Disp _WSoft _DF' _BT _Sink _Eject _SS Other FEES: Valuation $ ISSUED BY 7 3~(3 ~ Permit Fee Paid $ .2&;~ ~~ Date Park Dedication $ Finai/O.P. ,'5?,/;Kk In the performance of this work I agree to perform ali work pursuant to ruies governing the described construction. SIGNATURE r/ ~ I rt2.~ DATE ADDRESS TELEPHONE # NATURE £[/::: ii¡ ""':£::;~~ , OF WORK ..s-"~^-- -d- sl-: NEW RELAY REPAIR PERMITlft 1J7? ?~ ADDRESS OWNER !jt'ð /I' ;~ SAN SEW T 471 , I 1ft 1ft WATER I /~ I I I Bathtub Catch Basin ~TORM SEW' ;.¡:. I T Lava torv Grease Trap Toilet Sumo Pump INSPECTION DATE INSPECTION DATE Kit. Sink I Local Waste 3/(r/~ ~ Sink(other) Site Drain 5A--vJ Shower Laundry Stand Pipe Floor Drain Laundrv Tray Disnosal Wat. Softner Dishwasher D, Fountain Water Heater Ej ector Urinals Future outlets INTERIOR 1** Violation notes on the reverse sideJ