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HomeMy WebLinkAbout02459-Plumbing (lower level) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 02459 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~IGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /%3 0 (;;t?- r V I 5'" _ C9 ~ ~ f-.<.J 0 oj 5"c-I:2- Ii (0, r- PLAN NO. ADDRESS DESIGNER .. USE/NATURE OF WORK h.:v;st /<D{.J~.r /~ v- ~ I , 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 _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR --LBT _WH KOLle _Sink Other _FDr _LTub _DW _SP _ WSoft _DF _ CBasin _Disp -L Lav 1wc _Sh _ San. Sewer _Ur _ Storm Sewer _ Eject _SS _ Water FEES: Valuation $ ~ D t!) - 0 CJ , ISSUED BY. 1r7 /~ Permit Fee Paid $ Date I 'T-cJ 0 I /';}'~~I /%h . Park Dedication $ Final/O.P. 1;2 -l)/ --gt; In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ C"~ DATE AGENT/OWNER ADDRESS TELEPHONE # PLUMBER ~~ ~UMBING PERMIT APPLICATtON ~ O;(~!5"? . .. DATE 8"~~(~ . / .:) V7./~ ;~ ADDRESS 1?f5D S. O~ Ie V-eru/ ? /~/3/ /<< ~ ( )/L NAME OF OWNER ~/'-'y ?,6~ /:d-/r/Pb Pi ~/<=- ~ I d7.-<v--e:-~ ~e Va NEW SAN. WATER STORM RELAY SAN. WATER STORM Main to Curb Main to Curb Curb to Bldg. Curb to Bldg. Elect. Pumos Reo air Seotic Tanks NEW REP. NEW REP. NEW REP. Ba th Tub / Gar. Disposal Catch Basin Wash Basin I Dishwasher Conductors Water Closet I Laundramats Grease C.B. Sink Water Softener Sump Pumo Water Heater San. Bubblers i Bar Wastes Shower Bath Urinals Ran$te Boiler Floor Drain Dental Cusoidors Future Outlets