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HomeMy WebLinkAbout0009497-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~g 09497 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - - - - - - - - OWNER PLAN NO. . ADDRESS DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy P rmit Foundation HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S l ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH _Disp _Lav _Sh _DW _DF _WC _FDr _SP _Ur _Sink _ L Tub _ Eject _SS Other ~ I //~ I _ CBasin I -I- San. Sewer ~ C(;.::,JvC- ~ Storm sewer--J , LWate, /lc~ FEES, Valua'"m $_~ . Penn" Fee Paid $ ~~. Pa,k Dedication ~ ISSUED BY.v ~ Date --t:~ Final/O.P. ~/ /~. I In the performance of this work I agree to perform all work pursuant to rules governing the described construdtion. SIGNATURE ~;;;.,~ 7J2.b -J'J" AGENT/OWNER J DATE ADDRESS I TELEPHONE # /-; f J~ <:5. . }LUMBINJ PERMIT APPLICAT ON / ADDRESS /f?3 -c;- {52r--c~ DATE';2/ (P . ~~./)P--t/./ A~4 PLUMBER =V, < NATURE OF WORK ~~ OWNER PERMITJt DtJyq? I ;;:F,..J: c c::c.......-. / +-- DATE DATE INTERIOR 4fr Bathtub Lavator Toilet Kit. Sink Sink(other) Shower Floor Drain Dis osal Dishwasher Water Heater rinals :f,~ NE1..;T t1 RELAY REPAIR INSPECTION 4/;n/~, 8:36 ~ ~ If~~re-~ INSPECTION Catch j3asin Grease! Trap Sum Pum Local Waste Site Drain Laundry Stand Pipe Laundi Tray Wat. S!oftner D. Fou,ntain Ejectdr Future outlets t** Violation notes on the reverse sidel '\,