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HomeMy WebLinkAbout0020954-Plumbing ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 20954 TYPE: BLOG 0 HTG 0 ELEC 0 PLBG K SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - -iF-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS /7r:::s/Y7 0~~ PLAN NO / . OWNER D -~ DESIGNER USE/NATURE OF WORK ~~~ BUILDING CONTRACTOR " Size Sq. Ft. # Rooms # Stories Height Occupancy Permit it, Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 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 rBT ~WH 'f Lav _Sh f WC '2- FDr "2-Sink ,...~ F),c.w Wo~ ']:-, _Disp JJ-DW rsp _ WSoft _DF _ CBasin w,l<:- _ San. Sewer _Ur _ Storm Sewer _ Eject _SS _ Water Other FEES: Valuation $ '- 1.2 DC> , 0 <) Permit Fee Paid $ ISSUED BY (29 c~ Date ) ? ('. ~ <:;; C!> ../ eD/17/?z> I / Park Dedication $ Final/O.P. , ".. Is >--7 &1 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 # ~. OWNER PLUMBIN~GERMIT APPLICATION /74-::- ;71:~'''~ <<DATE ;1,-n-2tJ iJ_g-___ _ PLUMBER (A/a/lev-~ PERMIT iF ~?.s-7/ , , ADDRESS % /'/~,:,l,,- " ".. NATURE OF WORK Ale A .J ...---- --..... INTERI' ~- /I NEW RELAY REPAIR G :290 . SAN SEW iF '- ---- iF WATER ::2 !Bathtub Catch Basin STORM SEW -q Lavatorv Grease Trap l{ Toilet Q Sump Pump INSPECTION DATE INSPECTION DATE C) Kit Sink Local Waste _3P~d Sink(other) Site Drain C{6 Shower :2 Laundry Stand p~pe 2 Floor Drain Laundry Tray f J 7</t;; :2 Disposal Wat. Softner 3 J Dishwasher D. Founta~n F /717 ?-/3--7o J- Wa,ter Rea ter Ejector Urinals Future outlets I (~V 1...'{ 1** Violation notes on reverse sidel <1 ~