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HomeMy WebLinkAbout0036431-Plumbing (correct orders) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 rco/ 36431 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG!f4[ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - .-; - - -1- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / b i~ ::!7 PLAN NO. OWNER DESIGNER 6,~L~~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 ~ A ~'-"- _BT _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin _San. Sewer -I-- Storm Sewer _ Water ~~ _Lav ~ fJvc , _WC _FOr _ L Tub _Ur --'-- Sink Other _ Eject _SS FEES: Valuation $ ISSUED BY (600.00 ~ Permit Fee Paid $ Date / J /,0. S) " /,ty?Y'? j> Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ - AGENT/OWNER /~-/)J-r:s DATE ADDRESS TELEPHONE # ADDRESS OWNEB. NA'J:tJU OF YOl1C NEt. INC PElIHI'r APPLICA'tION DA%E '~//1i3 d PEllIlITI PLUHBn a..&t;b/L.ft- 3GV3/ SAN SEtJ # # iJATER Bacheub Sump PUIl1D gm Y; (IV C- LavaCorT Ejector Toilec Water Softener !NSPEC'l'ION DATE msncnON DAm ltie. Sink Drinkin Q: Fountain If//j)~ lolf9 Sink( aChe'!:') n...;n",1 I 0 AM Waterheater Slop Sink Crease Tran Floor Drain Local Waste Laundry Tub Site Drain Disposal . Laundrv Standpipe Dishwasher Catch Basin BUY UP AIl. IH'l'!B.IOll ** Viola cion noees on the reverse side!