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HomeMy WebLinkAbout02248-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 02248 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - .~ - - >- - - - - - / - - - - - - - - - - - - - - - - - - - - . - - - ADDRESS . / e-4-s- S. ~/lR /A-/~.:> PLAN NO. ~bec.~ ~. ~cL OWNER DESIGNER USE/NATURE OF WORK .:::;:e A' -<- ..rt'" ^-- ~~6/ ~L___ 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 q;;-J1/1~f ~~~- _WC _Ur _ CBasin _ San. Sewer 4'4 fA/r' _ Storm Sewer _Sink _WH _Sh _FDr _LTub _Disp _DW _SP _ WSoft _DF _BT _Lav _ Eject _SS _ Water /-1'7/ C opf'e,,- Other / ~. FEES Valuation ~ / Pe,mll Fee Paid $ )~ t/ ISSUED BY --,-t----/ Date 12../~ I~ 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"-- ~ ~, AGENT/OWNER DATE ADDRESS TELEPHONE # PLUMBER ~J61w - NAME. OF OWNER Z:s~l PLUMBING PERMIT APPLICATION [).)..2.. 11' /,</4 ri-t ~ 6 Joe/J ADDRESS I B' I{ ~ S~ &tLun~ L~r 5"'# j:1-/~/sti ~~-h~1 DATE ~ NEW SAN. 'WATER STORM RELAY SAN. WATER STORM Main to Curb Main to Curb Curb to BldlZ. Curb to BldlZ. Elect. Pumps Repair Septic Tanks s.~ r NEW REP. NEW REP. NEW REP. Ba th Tub Gar. Disposal Catch Basin Wash Basin Dishwasher Conductors Water Closet Laundramats Grease C.B. Sink Water Softener Sumn Pumn Water Heater San. Bubblers Bar Wastes Shower Bath Urinals RanlZe Boiler Floor Drain Dental Cusnidors Future Outlets