HomeMy WebLinkAbout0018313-Plumbing (laterals)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
18313
TYPE:
BLDG D HTG D ELEC D PLBG L.f4 SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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ADDRESS
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Canst.
HEATING CONTRACTOR
Heat D A/C 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
_BT
~ ~7A4 tf? ;C~'-4~
_ Disp _ WSoft
PLUMBING CONTRACTOR
_ Eject
_SS
_ CBasin
--/- San. Sewer J :rvL
J ;/'c. ~ ~
....L- Storm Sewer'7' t ,z., c,
L Water / 4 ccn'7Jc::?c,--
I'
_Lav
_WH
_Sh
_Sink
Other
_FDr
_ L Tub
_DW
_SP
_DF
_WC
_Ur
FEES: Valuation $ {ozt~
ISSUED BY ~""'---C"'";;$/"']~/
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuan, to rules governing the described construction.
SIGNATURE -/
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1./" "
tf/j/l A{ ,L' ~.' .
.() . - AGENT/OWNER
A /~5" 3 2..<f~
DATE
ADDRESS
TELEPHONE #
.
PLUMBING PERMIT APPLICATION
<DDRESS ~7i It(:J Wi M:y"<"'e ~TE O-/7Ja
)WNER ~ _evl- _ ~~_ PLUMBER E'j hr:vr;1-
ilATURE OF WORK 5~ . ( (A/~~
PERMIT iF /3'3/3
hc~a~~
SAN SEW Lj" 4F 4F
/JATER (- Bathtub Catch Basin
STORM SEW l.fI' Lavatory Grease Trap
Toile't Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
Shower Laundry Stand pI-pe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. FountaI-n
Wa,ter Rea ter Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
** Violation notes on reverse sidel