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HomeMy WebLinkAbout0021703-Plumbing ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 21703 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -il- - -~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS I? .3. S- - I "? 3 7 (!> ~ ~ PLAN NO. (J_ D~ FLOOD PLAIN HEIGHT OWNER DESIGNER AJ-L- ~- CJ~~, USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit 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 J{~ _Sink Other _FOr _LTub _Disp _OW _SP _ WSoft _OF _ CBasin -'- San. Sewer ~/C- y Iv C _Lav _WH _Sh _BT _ Eject _SS _ Storm Sewer L Water I /'1 ~ _WC _Ur FEES: Valuation $ / ~C!:' ~ . 0 C> 15SUED BY W ~ Permit Fee Paid $ Date I ,;20_D 0 I ,,1/ ;l~/9j) , I Park Dedication $ Final/O.P. 1n the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~ ~....-e So)J~ AGENT/OWNER ~,;:z&Pr DATE ADDRESS TELEPHONE # . 17~ 37 /L~ING PERMIT APPLICATION ADDRESS*-~ ';,(~~l!-er: DATE '''/''''''/.,'b OWNER G- . 0 - e..&", PLUMBER / ./ #' NATURE OF HORK ..r~/Wo.:t;~ ~L' NE\>J RELAY ~IT1I ..:2/703 SAN SEW Y'/ /Vc. 11 1/= WATER I ?'y';~ Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Was te 0;/ /r-z ;/.2'0 Sink(other) Site Drain Shower Laundry Stand Pipe ~ Floor Drain Laundry Tray Disposal Wat. Softner ~ Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets [** Violation notes on the reverse side)