HomeMy WebLinkAbout0004702-Plumbing (orders to repair)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04702
TYPE:
BLDG 0 HTG 0 ELEC 0 PLBG R SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
21? 7':14
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
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Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
.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 /~J7~P4/{{ {LA
_BT _WH _Disp
_WC
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_Sh
_FDr
_ L Tub
_ San. Sewer
_Ur
_ Storm Sewer
_Sink
Other
_ Eject--...... _ SS /' _ Water
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I' -
FEES, Valuation ~~---
ISSUED BY ..,.- < - f7f?2?/
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Permit Fee Paid $ j ')
Date 7/-?- 314r
Park Dedication $
Final/O.P. --2 -Zt!."---li/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~0 ~~
AGENT/OWNER
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DATE
ADDRESS
TELEPHONE #
NEW
SAN.
WATER
PLUMBING PERMIT APPLICATION
DATE ,24.rk
ADDRESS "-</&'r Z OA-
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SAN. WATER
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NAME OF OWNER Lary. a/1-7/7/r-:/
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PLUMBER
STORM
RELAY
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors Future Outlets