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HomeMy WebLinkAbout0023414-Plumbing (addn fixtures) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 23414 BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN - - - - - - - - - - - - - - -- 4- - - - ~ -,~- - -/-~ - -;/- - - - - - - .: - - - - - - - - - - - - - - - - - - - - - - - - - - - "'1 ~ "'~ ' ~, ,.Ao_____ / < .t/__ ADDRESS / I ~y ~ '"7~ ~.--z7' & . ~"--r-- PLAN NO. &- ~~/~ L'P / tK-z~~~-c/ / HEIGHT TYPE: OWNER DESIGNER USE/NATURE OF WORK I~_-~??- J~\ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foondation Class of Cons~. ., 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 C.r.JCL~~ _Lav _WH _Sh _Disp _OW _SP _ WSoft _OF _ CBasin L_~~ _BT _ San. Sewer _WC _FDr L L Tub _Ur _ Storm Sewer _Sink _ Eject _SS _ Water Other I l ISSUED BY I r-c.\, 0 i'I - Permit Fee Paid $ ~ -:1" - W r~ Date /0 C) ('..) s-~ ;5?,~ -~ 0/ Park Dedicationl Final/O.P. ,5", -::;-Je:fl I I FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~A. ~ AGENT/OWNER DATE ADDRESS TELEPHONE # ADDRESS OWNER NATURE PLUMBING PERMIT /7bY ~ S-~ G,..cL~/ f'~ I 1(.+ ,.. OF WORK F ~-:J' .-?-- APPLICATION DATE .s- - I 7 - ;; / PERMIT 1F PLUMBER . t,J~~ J~ ~ f?~ #- ,2.;27.:3 r ~ 3 /(// F;- NEW RELAY REPAIR INTERIOR SAN SEW 1F 1F WATER Bathtub Catch Basin STORM SEW avatorv Grease Trap Toile't Sump Pl.lmp INSPECTION DATE INSPECTION DATE Kit Sink Local Waste S~/?-::f/ Sink(other) Site Drain r Shower Laundry Stand p~pe Floor Drain I Laundry Tray Disposal Wat.. Softner Dishwasher D. Founta~n Wa,ter Rea ter Ejector Urinals Future outlets 1** Violation notes on reverse side)