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HomeMy WebLinkAbout0006700-Plumbing (laterals) ---.~,:"~,,,"'"~~:'~,:O?~- ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06700 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - /-~~-~ i;;~ - Z--~/) ~- - - - - - - - - - ~~~ ~~- - - - - - - - - - - (h~ ,K~/~- OWNER DESIGNER ~- ~/(~4~ USE/NATURE OF WORK 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 --r;; ~ '-' _BT _WH _Disp _ WSoft _Lav _Sh _DW _DF _WC _FDr _SP _Ur _Sink _LTub _ Eject _SS Other _ CBasin --!- San. Sewer _ Storm Sewer --I- Water Ljl( Jtt?l./t' , / if (' ~ ~--z:-- , II Park Dedication $ Final/O.P. I/'I/gt In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .c~/G~- AGENT/OWNER DATE ADDRESS TELEPHONE # !roT 3l ADDRESS OWNE R NATURE /' . /PL~ING PERMIT APPLICATION . / (:;>25 ,CJr('tw.,-/I44\-f DATE 9l~ k:~ f/~ .. .. PLUMBER . flh~/~. OF WORK S+c..J NEW RELAY REPAIR INTERIOR PERMITiF o {lot) <I" -- SAN SEW iF if: WATER I ... Bathtub . Catch Basin ~TORM SEW Lavatory I Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Lac a 1 Waste Sink(other) Site Drain 5~ r~,--jv</o f 1./\.'f Shower Laundry Stand Pipe Floor Drain Laundry Tray f (,l/r1 t.;J Q./,c (f (J'>~ Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector TTrinals Future outlets ** Violation notes on the reverse side