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HomeMy WebLinkAbout0006371-Plumbing (laterals) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION A.ND RECORD 06371 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG S SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - - - - OWNER ~;~~~~i~/ L;J; PLAN NO. ADDRESS DESIGNER P1's-1o/-.5~Nt~~ ,~/h'j ~7"~~i--. USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Cons~. HEATINt3 CONTRACTOR Hea\ 0 AlC 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 7 riCo , _BT _WH _Sh _Disp _DW _SP _ WSoft _DF i CBasin _WC _FDr _ LTub _Ur _ San. Sewer L Storm Sewer g /1 ;::JVL _Lav _Sink Other _ Eject _SS _ Water / . /: en-- ./ FEES, Valuation $~_ . .~ Pennl! Fee Prod $ : ~r .--" ISSUED BY "~ Date~) /:fy Park Dedication $ Final/O.P. / I -30 .37 In the performance of this work I' agree to perform all work pursuant to rules governing the described construction. SIGNATURE ht ~/~~~ Y ...... AGENT/OWNER DATE ADDRESS TELEPHONE # SAN SEW I 4ft ~ WATER /Bathtub /i J Catch Ba.sin STORM SEW j("u f'i/l !Lavatorv \. ~ Grease Trap Toi le't Sump P1.J.mp INSPECTION DATE INSPECTION DATE Kit Sink Local Waste Sink(other) Site Drain 110 ~4? Shower Laundry Stand p1.pe F Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Founta1.n Ejector - Wa,ter Heater I Urinals Future outlets RELAY PLUMBING PERMIT APPL~CATIO~;I DATE // ;; Lt& ..--.. PLUMBER... I r/ en 5~_V\ J;r- ~e3-~LJ~ . / . INTERIOR PERMIT 4ft 0637/ NATURE OF WORK /t:: :1rJ~r; slovt.-1A ADDRESS OWNER NEW REPAIR 1** Violation notes on reverse side\