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HomeMy WebLinkAbout0024060-Plumbing 11::1 ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 24060 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG)i(' SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N::~ - - - - - ~~~.o ~- - - - - . - . - -. . - - - ~L~~ ~~- - - - - - - - - - - DESIGNER USE/NATURE OF WORK ,(j ~ S,? - 0 ~P-7 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit 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 I( ~ _BT _WH _Disp _ WSoft : ._Lav _Sh _OW _OF _WC _FOr _SP _Ur ~ _Sink _LTub _ Eject _SS Other _ CBasin ~ San. Sewer i Storm Sewer ~ Water w,- V Itlc <<TV' J c.- I~ FEES: Valuation $ / h Cl 0, ('C) ~ ISSUED BY l0 ~~ Permit Fee Paid $ Date >.<3', 0 0 7,,-.2 -9/ 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 ~ ~~NT/OWNER 7-,;)- 9/ DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS I!?()i~ C3~~~/!::p. LN. ~ DATE .s:--I;/- '9/ PERMITif :2 ~6 h 6 .. OWNER a JV{ BU11_ [) t'3' h:S PLUMBER t<~ /IN C~Hrt5S NATURE OF WORK 1../ It, Pvc- 7)ItJ) L4-'r } Ai L 0 rl-C:~ tvlJ'f0/t NEW RELAY REPAIR INTERIOR ;1 SAN SEW f fJ (. if if WATER I e"..L Bathtub Gatch Basin STORM SEW Y I?\/c.. Lavatory Grease Trap Toilet Sumo Pumo INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste cr&~ v.;o ~,( S---/S-;-j>) Sink(other) Site Drain Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector TTrinals Future outlets [** Violation notes on the reverse sidet I"ill