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HomeMy WebLinkAbout0024063-Plumbing (laterals) (t) CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 24063 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG 0 HTG 0 ELEC 0 PLBG"à( SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- TYPE: OWNER 50ðf? F~oL. ~ F~~ t~ to PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~ .-ð~~ ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Ciass of Cons!. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Eiectric Servo New 0 Change 0 Temp 0 Type - Voits - Amps- Fixtures Switches Receptacies Circuits PLUMBING CONTRACTOR I( (f~ _Sink _FDr _LTub _SP _Ur - CBasin í San. Sewer - Storm Sewer ~ _Lav _WH _Sh _Disp _DW _WSoft _DF fldL _BT _WC _Eject _SS LWater I c..- Other FEES: Valuation $ ;2)!...ðD- 0 D Permit Fee Paid $ ,:2ð. 0 ð ISSUED BY W ¡é~; Date 7 - /- ""'7/ V Park Dedication $ Finai/O.P. In the performance of this work I agree to perform ali work pursuant to ruies governing the described construction. SIGNATURE ~~ . C2~WNER /-,,2-9/ DATE ADDRESS TELEPHONE. SANS¡;;W æ-Iuc/ I I iF iF WATER I r...L. J _I Bathtub I Catch Basin S'1""R"- ~F!J I Lavatorv -.1. Grease Trap Toilet I Suml>PUIIII> INSPECnON DATE INSPEcnON DATE Kit. Sink f Local Waste W/O..d.~r:;-/;7 Sink(other) I Site Drain Shower -' Laundry Stand Plpe Floor Drain I Laundry Tray Disposal \Vat. Softner Dishwasher D. Fountain Water Heater Ejector. Udnals Future outlets ADDRESS OWNER NA1'URE ~ P ¡Lð{,;? RELAY REPAIR INTERIOR ~ Violation notes On the reverse side] /