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HomeMy WebLinkAbout0033703-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 vo/ 33703 TYPE: BLDG D HTG D ELEC D PLBG fl"'i'1 SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - ~ ~ - - - ~- - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - . - ADDRESS I C:, .s 7 f.. - ~ &- ~ PLAN NO. I(~ ~ . r dS,Ft.-6~~ OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR e Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ~ ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~ ~ _BT _WH _Disp _ WSoft _Lav _Sh _OW _OF _WC _FOr _SP _Ur _Sink _ L Tub _ Eject _SS Other ~~. _ CBasin ~ San. Sewer i Storm Sewer ~ Water f'fJJQ ?L'1.j~ Ir: ~ FEES: Valuation $ 1.:2 0 O. 0 0 ~ Permit Fee Paid $ Date / 3 0 , c) 0 // s-/ ~/9 :1 / I Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~/a~ ~R$i>:?$~t:j' AGENT/OWNER ADDRESS ?f-71 ~ ~~--:z.. ~--# ':;'4 - ~"&) o 5';"-~.3 DATE $'/ y~ c"r<;.- 5"" ? 6;r TELEPHONE # Pt..UKBIJG P!:1IHI'! AnLICAnON ...~~.. 1bS""7 ~6~~ ....Ml1l. ..'1-(,- 'f-3 .. ..PbIIIT# ~... JI==r ~ ... PLIIIlBU k ~ ~'iuU -131.. w.ou:.. · ... AI~. ...-6 ---'4 ~" . f/ NEt~ RELAY !!PAn. . . 01. Y(J/ ..s ~. ? eJ.5 SAN SEW <lfuG- I # wATEI. I Ce.--<- Sathtub Sum!) PUl11D ~~ ~fV6 Lavacorv Ejector 'roileC Water Softener ON DATE DtS1'!C'nON !)ATE ltic. Sink Drinkin g Fountain Sj WIs-rJ ~~k SiDk(other) Tho;,.,,,,' W"'terheater Slop Sink r-"'e"'se Tra!) Floor Drain Local Waste Laundry Tub Site Drain Disposal! .... LaundrvStandpipe Dishwasher Catch Basin ,. ** Viola~iotl 'l1OCes on the ~eve1:'se sicie(