HomeMy WebLinkAbout0015288-Plumbing (remodel)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
15288
TYPE:
BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
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ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
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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
_Sh
~~4/d
-L Disp
LDW
Lsp
_ WSoft
_ CBasin
PLUMBING CONTRACTOR L c?5
_BT -LWH
_Lav
_DF
_ San. Sewer
_WC
---1- Sink
_FDr
-I- L The-
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
Other
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FEES: Valuation $ /?(JZ) yermit Fee Paid $ 21
ISSUED BY~~ ~~ Date <:ff--:JlJ~>.?f
Park Dedication $
Final/O.P.
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In the pertmman~e of this 17 I a9'"
SIGNATURE """- ~
perform all work pursuant to rules governing the described construction.
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
A1)D~SS I??/t rJ1C(~IllGPl!~":Pr.Ii~0~ -~3~-U I~>--'*
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NEii RELAY REPAIR INTERIOR
~AN SEW f/: f/:
WAUlt Bathtub Catch Basin
. .~.,.n'QM .~1="t.1 Lavatory i Grease Ira?
Toilet I ~ S Ullm PUDm
!NSP""cnON DATE IN,SPEC'l'ION DATE I Kit. Sink I Local Waste
~t Iholri Sink(other) Site Drain
Shower J Laundry Stand P1.pe
Floor Drain Laundrv Trav
r :iaoh 1 Disposal Wat. Softner
~rC I Dishwasner D. Fountain
I Water Heater Ejector
TT"'.;"'als Future outlets
i** Violation notes on the reverse sidej
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