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HomeMy WebLinkAbout0003180-Plumbing ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 03180 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I ;; 6 ~ 5~ Of t uerr:rr:/y/ PLAN NO. 6"otJe~~4r- pZ.-.re~ OWNER DESIGNER ...s-'~~--c.---~ r;z-'-L-'(~ (" -<,'/'l7 /4 - USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR (jd j.Yl/'O ~'> '- i! A:r( /("'/..-- _SS _ CBasin _ San. Sewer '1"< ~Vl" _ Storm Sewer -/I _ Water I r~~/--- U _BT _WH _Disp _Lav _Sh _OW _WC _FOr _SP _Sink _ L Tub _ Eject 8ther _ WSoft _OF _Ur s:z--- /' "I' Penn' Fee Pa;d $ /~ ~ Date -3 ~8""" , Park Dedication $ ISSUED BY Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~ ~~~ ADDRESS DATE TELEPHONE # PLUMBER 7J~/l-d' NAME OF OWNER ~. t~-j~.~tA.f~ PLUMBING PERMIT APPLICATION' DATE 3~..2b / / 0) S CJCVt~'7-h./ s)(~l ftWvh~~/ rz 03/06 ADDRESS ~ NEW SAN. WATER STORM RELAY SAN. WATER STORM Main to Curb Main to Curb Curb to Bldg. Curb to Bldg. Elect. PumDs Repair SeD tic Tanks ~/ # NEW REP. NEW REP. NEW REP . Bath Tub Gar. Disposal Catch Basin Wash Basin . Dishwasher Conductors Water Closet Laundramats Grease C.B. Sink Water Softener Sump Pump Water Heater San. Bubblers Bar Wastes Shower Bath Urinals Range Boiler Floor Drain Dental Cuspidors Future Outlets