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HomeMy WebLinkAbout0032618-Plumbing (lateral) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ >LO/ 32618 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ ~ _ ~~B~ J( ~I~~ _~ __~O_N~N?_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS 3 C) .2"" ~ f-~ PLAN NO. OWNER /11. .......... DESIGNER USE/NATURE OF WORK 1lI-~ 1--- I!. cJ~p~ 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 Temp 0 Type _ Volts'_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR v~ _Lav _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin ~San. Sewer L Storm Sewer L Water ~~<'- _BT _WC _FOr _ L Tub _Ur v f \;JC ~/VL /~ _Sink Other _ Eject _SS ISSUED BY Permit Fee Paid $ Date ~ 30,0 -ai./ 2-f?... 7~3 , Park Dedication $ Final/O.P. FEES: Valuation $ I ~ 0 ,0 C> kt2' In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~d~ 4~ 2-t:~ ADDRESS L~ It? J f +v / 'j, 0 It -I- 1/ /C2 / F L ~(' t/;u r'l4 P'l #/- 7%r-.2 )Z <) / / / / TELEPHONE # S-t(/t) PL~~ R1IHr.t APP.LICA'rION ADDllESS .3 0.;2 -r }f;;::2:.. f~ IIA%E ..2 - li> - Y J PEllIlIff 3 ~ .;; /' Ii' CllllEIl :" ~-=- PL1JIlIID , V~ lIAnl1Il! OF vcm: _I S r /?, - 0 _~ ~ v Nm RELAY BEP AIIl tN'1'EllIO ~ SAN sml. tfluc # # iJA'l'EIl IC~ Bathtub Sumn Purno ~ TU K1"t S1!:tJ V.flve Lavacorv Ejector ~" Toilet: Water Softener !tiS N DA'm INSPECTION DA'%! Kic. Sink Drinkin Q Fountain j - ~~-/9 SiAk( other) Th-;",,' B t,o W<>terheater -- Slop Sink /~ "/r1 /93 .;(:~ f~ t) fr"..."j ned' J:- !,C<< ihl ~"'ease Tran Floor Drain Local Waste ..,2.,) 5W~ d:! S'<f--W Laundry Tub Site Drain Disnosal Laundrv Standpipe 5) _sl-(7V~ f~ ..>~._ Dishwasher Catch Basin ct't"h . ~ - <k l c;P h .5k"" hQ,,{J:1! be.! (;:L, h-uck Icrq~ ~~) ~ Violation notes on the reverse side(