HomeMy WebLinkAbout0007495-Plumbing (orders to repair)
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CITY OF OSHKOSH N2
PERMIT - APPLICA.TION AND RECORD
07495
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USE/NATURE OF WORK
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PLAN NO.
ADDRESS
OWNER
DESIGNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Cons~.
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
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_Sink
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_ CBasin
_Lav
_WH
_Sh
_DF
_ San. Sewer
_BT
_WC
_Ur
_ Storm Sewer
Other
_ Eject _ SS
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_ Water
FEES, Va'uatlon ~ -Permll Fee Paid $
ISSUED BY ~ Date
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Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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~/OWNER
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DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE
PERMIT 1ft ;:>7ft(CJ5"
INTERIOR Clcro~ -
NEW RELAY REPAIR
SAN SEW 1ft 1ft
WATER [Bathtub I Catch Basin
STORM SEW Lavatory Grease Trap
iToilet Sump P1.lmp
INSPECTION DATE INSPECTION DATE Ki t Sink Local Waste
r dVL/ea4 /1/1.187 Sink(other) Site Drain
Shower Laundry Stand p~pe
@ Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountal.n
Wa,ter Heater Ejector
Urinals Future outlets
1** Violation notes on reverse sidel