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HomeMy WebLinkAbout0028248-Plumbing (storm lateral) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 28248 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ø SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS 7;)0 C~ .s 3~ PLAN NO. OWNER DESIGNER ~4~ ~ ;ØL þ.-J-ì ~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Ciass of Const. Occupancy Permit Heat Loss BTU'S Foundation HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System ELECTRIC CONTRACTOR . Electric Servo New 0 Change 0 Temp 0 Type - Voits - Amps- Fixtures Switches Receptacles Circuits _LTub y kJd ~ _Disp _WSoft _DW _DF _SP _Ur _Eject _SS PLUMBING CONTRACTOR _Lav _WH _Sh ~ GBasin vdL- _BT _WC _FDr - San. Sewer L Storm Sewer 'Çt" file.. _Sink Other _Water FEES: Valuation $ ..:s-.$Ci ð ,0 ð ISSUED BY t A1 jJc.- Permit Fee Paid $ Date / g>. ð ð ,/ Park Dedication $ 1..// '" 7/9"'2-- Finai/O.p.5"-<j- 9.9 I / In the performance of this work I agree to perform ali work pursuant to ruies governing the described construction. SIGNATURE 5 iu ~ AGENTl~ ~ LV ~ &.4 ADDRESS PO. ßdp /'3""3 ß~>i~4:-""" 1I~z/-C¡~ DATE ?¡;/- /l/63 TELEPHONE # ADDRESS OWNER NATCU n.1JMIIING PElIHIT APPLICATION 7'/0 b DAT!: V/.).~/? ::>-0 S S_~ n.1JMIIn V t-J?'-'-"'j OF weu: ~ft ~ /7-<7 ~ (J NEt. RELAY 1ŒP AIR INTE1I.I OIl. PElIHIT# J-J?;L ycg- ~ ~AN SEW I~Pu,,--I' I # . # wAn:lI. I I I Batl11:Ub Sumn pumn ~.,.nIlM ~=t I I LavatO" Ej ector Toilet Water Softener ON DAn: msnC'nON DAn: Kit. Sink Drinkin ~ Fountain f~-~~~ Sinlc( other TT~;nol Wote~heater 5100 Sink ~3'" G e se Tran- I! s-j¡ Floor Drain Local Waste Laundry Tuo Site Drain 1/ ~/f Disnosal Laundrv S tandniDe Dishwasher Þ- Catch Basin -- ,f- ¡;;-)y - Violation note!! on the rever!!e .ide!