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HomeMy WebLinkAbout0041457-Plumbing (city water) (t) Vô ;:2- CITY OF OSHKOSH N~ - 41457 PERMIT - APPLICATION AND RECORD :r'.P.E:. .~L~~.~ .~T~.~. ~~E?~. ~~B~I~I~~.~ .~O.N~N~.~. _F~~~D.~~I~~. ~~I~~T~ ~ f!Z/ OWNER .;2 ~g ~~ PLAN NO. ADDRESS ::::., 0' we", ~~~ ~ ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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- Voits- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR & _WSoft _DF - CBasin _BT _WH _Sh _DW _SP _Ur - San. Sewer _Storm Sewer -Lwater /"~ _Lav _WC _FDr - LTub _Sink Other -Eject _SS FEES: Valuation $ ÿ.:s--o ð ,0 ð ISSUED BY ~~ / tV j Permit Fee Paid $ / ' 0 0 Date fP;/ :/ V Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE v,t 14 ß-:2-b ð,-rL (;LA-T. ..N<- AGENT/OWNER / 1b('1~ DA ADDRESS (;).,v./efZs Si17 e-r-r 73,- LO4~ TELEPHONE # .ør PL~~ nma:T APPLICATION V 0 2- :::#:¡f~ ~~.....,. W~n NATtJR% OF WORlC :( ""- ~ - ~ ,,~..Þ' d NETI REUY REPAIR nrrEnOR SAN m I I I # # WATER Bath1:Ub Sum" Purno "'.,.n"~ I Laval:or'll' Ejector Toilel: Water Softener TNSPEC'nON DATE INSPEC'nON DATE Kil:. Sink Drinkina Fountain iV;ts~ r1Ji7~ ~ Sink(other "_<_0' W~terheater Slo" Sink ~hr""pr Grease Tra Floor Drain Local Waste V5ðO Laundry TUb Site Drain DisDosal Laundrv StandDioe Dishwasher Catch Basin ** Violal:icm nol:es 0.. the nverse side]