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HomeMy WebLinkAbout0010185-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 10185 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG 3- SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER '3/ ,ft(q~~ 4~ /Io~~e PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~~~e r- /~~~ 0L5tC, A' ....,.f C .E":: BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. I HEATING CONTRACTOR 'l Heat 0 NC D 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 _Sink Other _FOr _LTub _Disp _OW _SP _ WSoft _OF _ CBasin _BT _WH _Sh _ San. Sewer _Lav _WC _Ur _ Storm Sewer -I- Water /4 C"<y7pe _ Eject _SS FEES: Valuation $ ~ ('....eo ISSUED BY ~~ Permit Fee Paid $ Date Park Dedication $ Final/O.P. cr~/~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~ Eh4d ~:t:: ) cY~~AiTE~ SIGNATURE ~- 'U"," ~. ~ " ADDRESS TELEPHONE # ADDRESS OWNER NATURE OF WORK NE~'" P:UMBING PERMIT APPLICAT~N IrJ DATE ~' I , / PERMIT4fr PLUMBER .~A/\./,~~ 1010 SAN SEW 4fr 4fr WAtER l ... /' Vol, 11.( ./ Bathtub Gatch Basin ~'T'oTm sm Lavatorv Grease Trap Toilet Sumo Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(othed Site Drain ~ II -~i Shower Laundry Stand Pipe f Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets f** Violation notes on the reverse sidet