HomeMy WebLinkAbout0022375-Plumbing
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
22375
OWNER
DESIGNER
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USE/NATURE OF WORK
BUILDIr-JG CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
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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
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_Disp _ WSott
_DW _DF
_SP _Ur
_ Eject _SS
_ CBasin
_ San. Sewer
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_BT
-L Lav
Jwc
_WH
_Sh
_Sink
Other
_FDr
_LTub
_ Storm Sewer
_ Water
FEES: Valuation $ .$?:) 6, 0 (:)
ISSUED BY to ~~
,
Permit Fee Paid $
Date
/0 , 0 0/
/-'//3/7/
I /
Park Dedication $
Final/O.P. S--- I - q I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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AGENT/OWNER
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DATE
1/
/
ADDRESS
TELEPHONE #
ADl)RESS
OWNER
NATURE
/ ~LUMBING PERMIT APPLICATION-
/[5.:::>.s-o.~4 L~ DATE .?-//.3h/'
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L...rZ6 cU ':"~ PLUMBER ','
OF WORK #rz-e- tv e ,;I ~ ....
NEW RELAY REPAIR INTERIOR
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PERMITif/: ",z,...;L.3 ? S--
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SAN SEW if/: 1/:
WATER Bathtub Catch Basin
~'T'()RM SEW I Lavatorv Grease Trap
/ Toile t Sump Pump
INSPECTION DATE INSPE CTr ON DATE Kit. Sink Local Waste
R..:c .;2../1 3/7/ Sink(other) Site Drain
Shower ,Laundry Stand Pipe
F 0//9/ Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
TTrinals Future outlets
t** Violation notes on the reverse sidet