HomeMy WebLinkAbout0038535-Plumbing (water meter)
(t)
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
pc)
38535
TYPE:BLDG 0 HTG 0 ELEC 0 PLBG J(f SIGN 0 ZONING - FLOOD PLAIN- HEIGHT-
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DESIGNER ~ / ~
USE/NATURE OF WORK ~fl ~ . d?-- ~ ~ ::æ.-...>
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING 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
_Lav
_WH
_Sh
#~J4
- p
_DW
I
_WSoft
- CBasin
- San. Sewer
~
PLUMBING CONTRACTOR
_BT
_DF
_WC
_FDr
_LTub
_SP
_Ur
_Storm Sewer
_Sink
Other
_Eject
_SS
_Water
FEES: Valuation $ I~ 0
ISSUED BY ~
Permit Fee Paid $
~£¡.öðl
y;r~/7;Y
Park Dedication $
Final/O.P.
Date
In the performance of this work I agree to perform all wòrk pursuant to rules governing the described construction.
SIGNATURE c?~ ;::: ~~T:WNER
/"1/'57'83
DATE
ADDRESS
TELEPHONE #
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PLtIMBING P!1IHIT APPLICATION
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NATCU OF WOlUC
NEW
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RELAY
1IEl' AIR
SAN SEW I
wATER I
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DATE
msnCTIOtf
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DAt!
tN'ŒBIOll
#
BathOib
Lavato.,.,.
Toilet
Kit. Sink
Sink (other)
W~terheater
Sumn PUmD
Ejector
Water Softener
Drinkin" Fountain
n~'n"
Slon Sink
Grease Tra
Local Waste
Site Drain
Laundry Standpipe
Catch Basin
#
Floor Drain
Laundry Tub
Disposal
Dishwasher
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