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HomeMy WebLinkAbout0036924-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD NQ ~ol 36924 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG liIf SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER 5090 /~ p~ S~~i~ DESIGNER ~ USE/NATUREOFWORK ~rf- E)~ ~ PLAN NO. ADDRESS BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const.. Height Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent D' Fuel/System Heat Loss. BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits _BT ;::::-<< V~ ~ ~- _ Disp _ WSoft PLUMBING CONTRACTOR _ Eject _SS _ CBasin ~ San. Sewer -1- Storm Sewer i Water /fi""- _Lav _WH _Sh _WC _Ur </ /J c V!Jc I~ _Sink Other _FDr _LTub _DW _SP _DF FEES: Valuation $ ISSUED BY 7SCJ.Ot) #- Permit Fee Paid $ Date Park Dedication $ Final/O.P. q-;) J -9~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE QJ J2 ~d 1{I/5t! 3 /OAT ADDRESS TELEPHONE # .:t:" yo I nmaT# 3 b 1."2- Y E~ .. " ~ ,PJ,pHBIHIl P!:llKIT AnLICAnOH ADDRESS 30;7.s- f~ IlA%E r/;;!:.? CIlHEltS~ . ~ ~ f r-V~ NAnmE OF WOlUC /(/ S ~ - CJ ~/ . "- . . NEtI BUY . BEl' AIR RIOa SAN SEW 'lIve # # iJAn:a / C<--- Baeheub Sumn PUllID 5;'t'ORM SmJ Y-frIJ c.. Lavaeorv Ejector Toilee Water Softener INSPECTION DATE IBsnCTIOlf DAn: Kie. Sink Drinkin Q" Fountain 5/ I1J 1ST S SiDk(other) n' 1 7/~ (t J W~teT'heater Slop Sink GT'ease Trap Floor Drain Local Waste tI 7 :)0 Laundry TUD Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin .~ ** Viola~ion noee, on the ~everse side{