HomeMy WebLinkAbout0014620-Plumbing (laterals)
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PERMIT - APPLICATION AND RECORD
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CITY OF OSHKOSH
Owner ~ ¿C; £y/?7~
Lot
Type of Permit:
Block
Ward
Building 0
Electrical 0
Heating 0
Plumbing ~ Sign 0
Nature of Work
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PLUMBING CONTRACTOR
Bu. San. Sewer - Curb to Bu.
Bu. St Sewer Curb to Bu.
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Main to Curb:
Main to Curb
Sewer Fees
Water Service
Bath Tub Floor-D'rain Urinal
Wash Basin - Garbage Disp. - S. Sink
Water Closet - Dish Washer - Catch Basin
Kit. Sink Laundry Mach. - S. Pump -
Water Heater - Water Soft. B & S Waste -
Shower Bath - Bubbler Conductors
Plumbing Fees Total Fees
Subdivision
N~
14620
Occupancy Permit
Zoning ~
Insp.
Id. No.
Flood Plain
permitDate/ó/~~
Wrecking 0
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S?-
General Cant
BUILDING Use
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HEATING CONTRACTOR
Fuel: Gas 0 Oil 0 Elec. 0 Solar 0 Soiid 0
Conditioning Forced Air 0 HW. 0 Elec. Base 0 Steam 0 Radiant 0
System High Eft. 0 Supplementary 0 Air Condo 0 Ventilation 0
Chimney: "A" 0 "B" 0 Direct Vent 0 Can. Burner 0 Flue Damper & E.I. 0
Calculated Heat Loss System BTU Rating
ELECTRIC CONTRACTOR
Eiectric Service: New
Description-Type
Fixtures-
Appliances
Changes
Temp.
Volts
Recep's
Amps
Circ's
Switches
Electrical Signs
Estimated Cost
Siding
Type of Construction
_feet wide X
.feet long
Square feet area
Stories and Basement
above Grade
Width olLot
No. of Rooms
Mason
Carpenter
Architect
---'t.
Inspections -
Foundation
Footing
~ I Electric. Service
~ Sewer
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R.I.
1
Final
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Fees Paid
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TO THE BUILDING INSPECTOR: In accordance with Section 7-18 of the Municipal Code of the City of Oshkosh, it is agreed that if work shall be
discontinued for a period of 30 days at anytime for any cause after excavation work is commenced, a solid barrier, wall, orwire fence not less than
five feet in height shall be erected all around such excavation. Such barrier, wallorwire fence will remain in position until removal is approved by the
Building Inspector. X
In the performance of this work the undersigned agrees to abide by and do work pursuant to all statutes, ordinances,
codes, and rules governing the described construction.
(Signed)
By
Address
Phone
Agent
Phone
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