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HomeMy WebLinkAbout0027265-Plumbing (rp valve) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 27265 TYPE: BLDG 0 HTG 0 ELEC 0 PLBGX'SIGN 0 ZONING FLOOD PLAIN HEIGHT DESIGNER /2'0.2- (3~ I C-~ l'D~ ~^f.~ PLAN NO. ADDRESS OWNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Te~p 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR t) r~ _Disp _ WSoft _OW _OF _SP _Ur _ Eject _SS _ CBasin ~ _BT _WH _Sh _FOr _LTub _ San. Sewer _Lav _WC _ Storm Sewer _Sink Other _ Water FEES: Valuation $ ISSUED BY Od C). 0 C) W~ / e-J~Vpark Dedl'catl'on $ Permit Fee Paid $ F ~ Date ;2 - 7 - ? ?- Final/O.p.::J- ;) 5-- 9./ work I agree to pe orm all work pursuant to rules governing the described construction. SIGNATURE ) AG~ ADDRESS ~fV a ~~ :t r (fP/J;. J 1-qd-- DATE 3~ 15C:S- TELEPHONE # ADDRESS OWNER NATURE PLUMBING PERMIT APPLICATION ) 7:2 &.$ " / /- /:J -? / PERMITtF F..J2R-vJ ~ tJ /k4?~- NEtf RELAY REPAIR INTERIOR SAN SEW tJ: iF WATER Bathtub Catch Basin SEW Lavatory Grease Trap Toilet I Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain Shower Laundry Stand Pl.pe f2/4qJ.- ~ Floor Drain Laundry Tray Disl)osal Wat. Softner Dishwasher D. Fountain , Wat'er Heater Ejector ... TT...;n",l Q Future outlets 1** Violation notes on the reverse side{