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HomeMy WebLinkAbout0009705-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~~ 09705 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~SIGN 0 ZONING FLOOD PLAIN HEIGHT ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /r?~ Z-",J~/(-T . .~? e~~/ ~~~ USE/NATURE OF WORK fi1-<-v .)'? , ~ / "'"IS /- - PLAN NO.. I I 6- I r~"~' /~I ADDRESS DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Hfight . Occupancy ~ermit I BTUJ Foundation HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR LBT ~WH -3- Lav -J- Sh 3-wc LFDr -I- Sink + L Tub Other _Ur , _ CBasin i _San. sewer~ _ Storm Sewer 4- Disp -I-DW Lsp _ WSoft _DF _ Eject _SS _ Water I ~ 5 FEES: Valuation $ ~ CJ() P,..,' Fee Paid $~. .. 9 Park Ded;cati~ $ . . ISSUED BY ~ ~.....-"l."""- crr---/' Date_i_ ~ Final/o.p.~/8'"'M ,/ - . I I In the performance of this work I agree to perform all work pursuant to rules governing the described constJction. SIGNATURE r>L C ~ tJ~" Ji-C '2- ?- t } - ~A: J' 8' ADDRESS TELEPHONE # ADDRESS OWNE R NATURE ~ING PERMIT APPLICATION ?(: ~ ~cl' DATE ! OF w!:~;f)yt · -d.. PLmmER PERMIT tPc;76 ~ NE'.;r RELAY REPAIR INTERIOR , SAN SEW 4fr 4fr WATER I Bathtub Catch :Basin STORM SEW :2.... Lavatory It Grease'Trap ..z Toilet II I Sumo Pump I INSPECTION DATE INSPECTION DATE J Kit. Sink r toc al Was te (JvC-tE6A;/ff Sink(other) Site Dtain 7 Shower I I Laundry StandtPipe , ., Floor Drain I Laundry Tray j (fg/<6Ir;g~ . Disposal Wat. Sbftner Dishwasher I D. Fountain LuJJ 6<.J VV' Water Heater I Ejector l)LJL~ kt{~ hcx.4-( tlv&;lA.1. T Clll tL ( TTrinals Future' outlets ~ (110 dt,)f6> -r'~ ~ f~~ Violation notes on the reverse sidel . - I