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HomeMy WebLinkAbout0042514-Plumbing (addn interior) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD V/O Ng-42514 :::E~~ ~l~~ -~ - ~T: ~ _;~C 9 -/ L _ _ _F~~~D_ ~~~~~ ~~_ _ ~~I~~T_ - - - - OWNER _ DESIGNER F~=~~ (~-# W//cf USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const, .. .. HEATING CONTRACTOR " Heat 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 f ~ V- ~ ~ _ BT _ WH _ Disp _ WSoft _ 0 asin L _Lav _Sh _OW _OF _ San. Sewer _WC _FOr _SP _Ur _ Storm Sewer _Sink -'- L Tub _ Eject _SS _ Water Other ISSUED BY .A-D6 -'c:) 0 ~ Permit Fee Paid $ Date / t"~ _ e-~ J /~fC Park Dedication $ Final/O.P. /IJ -~.1f FEES: Valuation $ In the performance of this work I agree to pe SIGNATURE ~ I AGENT/OWNER /I. ~50 /l gk-<_nvzv/l~dL II work pursuant to rules governing the described construction. } / - 7- 9t( DATE ADDRESS ~ ~ ;;30 --0.k1J- TELEPHONE # ~ NA'lJ'U OF YOU: /-- Nm RELAY PERMIT' y/o .,L .:z .:S/ ~ ADDRESS 0lmER. ~ SAN SEg' # . # iJAtER. Bathtub Sumo PUl!ID .,TlJKI"I ~~ Lavatarv Ej ector Toilet Water Softener !NSPEcnON DAT! INSPEC'rION DA'l'.! Kit. Sink Drinkin g Fountain Sink(ather) n . 1 /0/""17'1'" db P :2aQ- Waterheater Sloo Sink Grease Trao Floor Drain Local Waste ! Laundry Tub Site Drain Disposal Laundry Standpioe Dishwasher Catch Basin REP AIIl nrr!RIOB. ** Violation notes on the reverse side(