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HomeMy WebLinkAbout0020827-Plumbing (interior) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 20827 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG Ii{ SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N::~ - ~1-qg~1(5 ~- -r L;;~-~~j - - - ~~~ ~~- - - - - - - - - -- DESIGNER USE/NATURE OF WORK s~/t~i/s~~ / I ( / Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit / / / I BUILDING CONTRACTOR Class of Const. ... HEATING CONTRACTOR " Heat 0 NC 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 _BT ~~ _ m;-- _ WSoft _ CBasin PLUMBING CONTRACTOR _WC _FDr _ L Tub _Ur w~ ~ San. Sewer Y ~ ( fJ t.J c.. ~ Storm Sewer yrt/v L LWater I"~ _Lav _WH _Sh _DW _SP _DF _Sink Other _ Eject _SS FEES: Valuation $ ?O c < c. 0 Permit Fee Paid $ ISSUED BY e~ ~ Date / 30,0 b / ',/1'7/570 Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU/~ _~, ADDRE~ _ / () .- (1 -90 . DATE TELEPHONE # ( i ()/':tI YC0) . / PLUMBING PERMIT APPLICATION ADDRESS 1??5t wj~tJj1J~ DATE '7-:>- ;Jo PERMIT # OWNER ~~C!~~~__~ ~~ IJ)PLUMBER ~ ~~ NAT~E OF WORK ~~/~/.sT~~ # . /' / NEW RELAY REPAIR INTERIOR <::9-.0&:27 SAN SEW Y"" fJ ( I if: .' J if{: WATER )"~ [Bathtub Catch Basin . STORM SEW f./" fiVe- Lavatory Grease Trap To i let Sump'P1.lmp INSPECTION DATE INSPECTION DATE Kit Sink Local Waste ~:1/lif~ ~:f' wj) ~rz<..t 1- ~ 70 Sink(other) Site Drain Shower Laundry Stand pJ.pe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. FountaJ.n Wa,ter Rea ter Ejector Urinals Future outlets 1** Violation notes on reverse sideJ