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HomeMy WebLinkAbout0013821-Plumbing ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 13821 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER /?5() CJ>--C'~r--/ L~< V; 4/l * o/aA-? ;Z&- PLAN NO. ADDRESS DESIGNER ~-t-c...,..'.3__ C~--L-'" /Cc..v-h--, USE/NATURE OF WORK 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 ~{J'tt G-a~ _ Eject _SS _ CBasin ./ jl. -Jsan. Sewer -y p t/ c ~ Storm Sewer -I- Water / j/ t" O"'f. ",..Jl'_ . P _BT _WH _Sh _Disp _ WSoft _DF _Sink _FDr _ L Tub _DW _SP _Ur _Lav _WC Other 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 ,p~d 0?'4z.;- ??P~..s iJ;1 '3 ;;~ 6,.19/J'7 DATE AGENT/OWNER ADDRESS TELEPHONE # ADDRESS OWNER NATURE e PERMIT APPLICA:rION/ / U DATEL: - .3 - ~ PERMI iF OFWI5~:&=~i2,S~{:t:U ,K~~/t ~':i; ~v RELAY REPAIR INTERIOR !~R2/ , &/It . SAN SEW' iF iF WATER J.... Bathtub Gatch Basin ~TnllM ~~ Lavatorv i Grease Trap Toilet I Sumo Punro . INSPECTION DATE INSPECTION DA'l'E Kit. Sink Loc al Waste Sink(other) Site Drain t /t<(~ Shower Laundry Stand Pl.~e r Floor Drain Laundn Tray Distlosal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Ul:'inals Future outlets 1** Violation n~te~ on the reversesideJ