HomeMy WebLinkAbout0009761-Plumbing (interior)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
I
09761
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
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OWNER
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PLAN NO.
ADDRESS
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
.# Stories
Class of Const.
I
Height
, Occupancy Permit
Foundation
HEATING CONTRACTOR
It
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 (7 /YJ1J 7'/(~ t:l(~
2. BT ~ WH -f Disp - WSoft
--3- Lav _ Sh -I- DW - DF
3 WC ~FDr -LSP_Ur
-I- Sink ~ L Tub - Eject - SS
Other /- Io/f.A.-,- d-r.y
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
//""7- 3 /
V
Permit Fee Paid $ ~;l ~
Date 6110 M
Park Dedication $
Final/O.P. I() -j,;? -?'?
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
t /" fa /" ? P
DATE
TELEPHONE #
PLUMBING
ADDRESS 12FJ ~~ c;:
OWNER ,fine ~e;;, (02~
NATURE OF WORK 7~ A ./ S ,J:::-.
PERMIT APPLICATION
DA'rE ,6 ~74
PLUMBER~ 'J"t1/P1 r
PERMITif ()t? ?t-:(
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NEH
RELAY
REPAIR
INTERIOR
a
SAN SEW iF if .
WATER "2- Bathtub U Catch Basin
~TORM SEW 3 Lavatory II' Grease Trap
3 Toilet I II I Sump Pump t
INSPECTION DATE INSPECtION DATE / Kit. Sink" t Local Waste
l1/zlsg Sink(other) Site Drain
:J- ut Shower I Laundry Stand Pipe I
I Floor Drain J 2- Laundry Tray II
/ Disposal I Wat. Softner
1fT 8' ft-( ISf ~ I Dishwasher J D. Fountain
/ Water Heater I Ejector
TTrinal s Future outlets
&/I^ r- U A-;~ck~l~s la{,~~7' j/ t./ f cJ()
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Wcr
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I h~;YtA.e-,)' J
f** Violation notes on the reverse sidel
311m 1:1- } ~ Ai-~
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