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HomeMy WebLinkAbout0006170-Plumbing ~. CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06170 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG % SIGN 0 ZONING FLOOD PLAIN HEIGHT: ::N::~~ . . . . . . . . . ;:~~i7~~~;~ ;;. . . ~L~~ ~~. . . . . . . . . . . DESIGNER USE/NATURE OF WORK cey ~t::-fl- r?~ /<'~~ ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S r< ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits ----"-"..BT _WH _Sh _FDr _LTub ~- / r-/ Cc) / . _Disp _ WSoft _ CBasin PLUMBING CONTRACTOR _Lav _DW _SP _DF _San. Sewer _ Ur _ Storm Sewer _WC _Sink Other _ Eject / ... fr'l/~ ( _SS' _Water /~ o~crh.~ o - /'" ~~ 5~ V FEES: Valuation $. . Permit Fee Paid $ ~ ISSUED BY '" ..... "" ../'/~-----_. Date //& ~ Park Dedication $ Final/OP. 1143 -'81 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Ydde ~/-6 , AGENT/OWNER DATE ADDRESS TELEPHONE # OWNER 4/0 NATURE OF WORK PLUMBING PERMIT APPLICATION <I~ 7 #a/~ DATE tl/;r~h7 ~/. L r;t; ~1JI!iJjER 7h Cd C~ S~~ ~~/ PERMIT if () C(76 ADDRESS SAN SEW ifF if WATER iBathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump P1.tmp INSPECTION DATE INSPECTION DATE Kit Sink Local Waste Sink(other) Site Drain Shower Laundry Stand p~pe 111(3~ Floor Drain Laundry Tray r Disposal Wat. Softner Dishwasher D. Fountal.n Water Heater Ejector Urinals Future outlets' NEW RELAY REPAIR INTERIOR 1** Violation notes on reverse sidel