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HomeMy WebLinkAbout0037905-Plumbing (addn fixtures) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 ~b 37905 TYPE: BLDG D HTG D ELEC D PLBG;tJ SIGN D ZONING - - - - - - - - - - - - - - - - - - - - ~ / - - - -...;,t--- - - - - - d - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 16 go ~.--:Y&-~ PLAN NO. C-~-~~ DESIGNER ~ -;T7/ -# USElNATUREOFWORK r~~~ ~ ~# .i'S"S" I FLOOD PLAIN HEIGHT OWNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. "HEATING CONTRACTOR 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 S; ~+ ~./~ _ BT _ WH - 1 Disp _ WSoft ~ CBasin _Lav _Sh _DW _DF _San. Sewer ~ _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other I FEES: Valuation $ /b8,d<:l Permit Fee Paid $ /0- cO' j Park Dedication $ ISSUED BY ~ Date '7-/~/7' Y Final/O.P. I ( :~:A:~:~m1:L:agree; Pln"a"' ro rul~ ~~rni"g 'he de,criood 00"';:-1 _ ~~ U ~ AGENT/OWNER._ DATE .If {&:L#7/7 ~.//I. / j 75 (] -01-0..<;- TELEPHONE # ,~ S-c.? /I{" ADDRESS ~o ADDRESS CMN'ER NA'!mU!: . ~ RELAY REPAIR mmINC nliHIOX APPUCA'!ION DAtZ./;:J-//6/Y2. _~m<<T# d /S 'f' fJ. pI.mm~ ~ /; - . :IF ~S-S-O nrmRIOEl ~7/6S "- SAN SEW I # wATER Bathtub Sumn Purno ~,.n"'M ~~ Lavatory Ejector Toilet Water Softener INSPECTION DAn: msncnOll DAtE Kit. Sink Drinkin I! Fountain Si.nk(other) Th- ; THI 1 W<>terheater Slop Sink Grease Tran Floor Drain Local Waste Laundry Tub Site Drain , Disnosal Laundry Standnine Dishwasher Catch Basin ** Violaeion noees on the reverse sidel,