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HomeMy WebLinkAbout0029046-Plumbing (water service) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 29046 TYPE: BLOG 0 HTG 0 ELEC 0 PLBGX SIGN 0 ZONING FLOOD PLAIN HEIGHT -::::~ - - - - - - - g ; ~ ~ - - - - - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - DESIGNER ~~~ ,.. ~ USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 ;; PLUMBING CONTRACTOR ~~ ~.rL- _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _ San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other <-y'0 FEES: Valuation $ 3o<:;J,cn t~ Permit Fee Paid $ Date I /6 ~ 0 a '1/ b/S-/72- / / 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. SIGNATUREfJv~ if t1oJLr~~ h1P~S d32>~~ AGENT/OWNER () S l{ ~ .-S-~y L DATE ADDRESS ::lS"1.. 7 \;tl, W{':1vLClU Av~ .2,~ )-- 3]3 ) TELEPHONE # ADDRESS OWNElt NAnJU " ~ _~ ~ _ rING PEIHI'r APPLICA'rI9N l??,3 j,~_ ___ !1m: (,/s~ PEIlIlIT#--L7'ojC-6' /f:l ~ . _ ~ PLIIIIDEIl / / ?" OF WOlUC ...a~ 'L ~ v NEt; RELAY BEPAIR nrrERIOIl c SAN SEW # # iJA'I'!:1t Bathtub Sump Pumo ~m Lavatorv Ejector 'roilet Water Softener I1fSncnoN DAT!: INSPEC'rIOlI DAm ltit. Sink DrinkinQ Fountain f~W/~ ~~ b/ s;/7 Z- Sink(other) II...in"'~ Waterheater Slop Sink Grease Tran Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundrv Standpipe Dishwasher Catch Basin ** Violat:ioll ftot:es Oll the ~eve~se side{