HomeMy WebLinkAbout0003792-Plumbing
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CITY OF OSHKOSH N!
PERMIT - APPLICATION AND RECORD
03792
TYPE:
BLDG D HTG D ELEC D PLBG e--SIGN D ZONING
FLOOD PLAIN
HEIGHT
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OWNER
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
-LBT ~WH
~Lav _Sh
L WC --1- FOr
-L Sink _ L Tub
1- k'~~~1
/'4/\ 7
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---L Disp _ WSoft _ CBasin
Low _OF _ San. Sewer
-!-SP _Ur _ Storm Sewer
_ Eject _SS _ Water
Other
FEES, Valuation $~_-
ISSUED BY ~ d7.l/
I
3b~ I
Permit Fee Paid $ . '___~
Date ~?/ di?
(
Park Dedication $
Final/O.P. 1... d.~ ~ <61
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
C A/ZtZ'(" OGC/Cf/Z
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SAN. WATER STORM
DATE
ADDRESS 17~ c::h
:::5"/1 k 1 U (' ~
. 'S118 4~ ~ r i.."-f"ii e.-~~ (~veY( cAr.
RELAY SAN. WATER STORM
03 ?'1 '2-
PLUMBER.
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PLUMBING PERMIT APPLICATION
NEW ~. NEW REP. NEW REP.
Bath Tub I @ Gar. DisDosal / Catch Basin
Wash Basin [ ( c I~ Dishwasher t Conductors
Water Closet I ') Laundramats (I) Grease C.B.
Sink I ..... Water Softener -..........- Sump Pump I
Water Heater I San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain 1 Dental CusDidors Future Outlets
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