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HomeMy WebLinkAbout0040649-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~/i) N~ 40649 TYPE: BLDG D HTG D ELEC D PLBG~. SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N:E:~ - - - . :;~;!lii!; - - - - - ~~~ ~~- . - - - - - - - - . DESIGNER ~ 1 Z ( . . ! . F q:U~~-/ ~-r-:- aM-- 3. :f-4~T# .1/ ?;?a USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const.. Height Occupancy Permit Foundation HEATING CONTRACTOR . Heat D AlC 0 Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Edctric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures " Switches Receptacles Circuits _BT _WH ~Sh _Disp _OW _SP _ CBasin ~ PLUMBING CONTRACTOR ~--~~ _WC _FOr -L L Tub _Ur _ San. Sewer _ Storm Sewer _ Water _Lav _OF _Sink Other _ Eject _SS ISSUED BY d--?~ 0 (;) r ~. Permit Fee Paid $ Date / /100.0"/ -. 7/~'S79JC- I' I' Park Dedication $ Final/O.P. 5-/~q4 FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ 4 ~dv t11fJ 7 nz- I" E fOWNER ADDRESS 71.;J.~ /91 DATE TELEPHONE # PL1JHBINC l'!:DI"J: APPUCAnON ADDRESS'>9 0 6-rli'~ DA%E s;/( ;h ~ .PE .BHI"J:# CllBEIl ..#I~ b'~ ~ . ::r~ NATtJU OJ' W~ A1E r: " .~~ ~ ~# 37fr3'O NEll R!I.AY REPAIR nn:lltIOR Y~:Y0 V:j7 SAN SEY # # wATER Bachcub Sump Purno ~.N Lavacarv Ejector ; Toilec Water Softener tNSPEC"n.ON 'DAn: tNSPEC'nON DATE ltic. Sink Drinking Fountain . Sink(oCher) Th-;n%l1 .~ sf/:J- /?:,? W.qterheater Slop Sink I Grease Trap Floor Drain Local Waste I Laundry Tub Site Drain Disposal Laundrv Standpipe Dishwasher Catch Basin ** Viola cion nates on the 'l:'everse side{