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0003195-Plumbing
~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 03195 TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - r - - - - - - - - - - - - - -- - - - - - - - - - - - - ADDRESS / R:J t1 V.Y'C'~/'--r/ 4/<-...1 . _ PLAN NO. C;-Z. /.... .r;. .is 4rvt.-t:.::s OWNER DESIGNER USE/NATURE OF WORK '"5:..e.t:.--<..---c.,..--_ C~- c'/ ,,;:>c_ ~ ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC 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 07JJr}/~r <5~.~/~-c....---- _BT _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _Lav _ San. Sewer ~4 3'"' vc.. ~ _Sink _ L Tub _ Eject _SS _ Storm Sewer / /(' _ Water c~~---- _WC _FDr _Ur Other ~ ~ FEES: Valuation $ " . C.5O ISSUED BY t9~~r?-;r-./ Permit Fee Paid $ /' Date --3 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 ~!J42- ~ DATE ADDRESS TELEPHONE # PLUMBER PLUMBING PERMIT APPLICATION cJ;!""(5 ~...-" DATE t.3//,r/r) OWNER. ~~.nS-S /~vv~-J ADDRESS /0367 rYrr~-~i~ D3/'75 NAME OF . NEW SAN. WATER STORM RELAY SAN. WATER STORM Main to Cllrb Main to Curb Curb to Bldg. Curb to Bldg. Elect. Pumps Repair Septic Tanks ~~ ~ .. . NEW REP. NEW REP. NEW REP. Bath Tub Gar. Disposal Catch Basin Wash Basin Dishwasher Conductors Water Closet Laundramats Grease C.B. Sink Water Softener Sump Pump Water Heater San. Bubblers Bar Was tes Shower Bath Urinals Range Boiler Floor Drain Dental Cuspidors Future Outlets