HomeMy WebLinkAbout0025800-Plumbing (laterals & bathroom)
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
25800
TYPE: _ _ BL~G _0 _ HT: _l? _ E~E~ _ 0 /':"~ ,t SIGN _~ _ ZO_N~N~ _ _ _ _ _ _ FLOOD ~U\'~ _ _ _ _ _ _ ~~'~~ _ _ _ _ _
ADDRESS ;:2-7 "/ d~ L PLAN NO.
OWNER Ill: 111 Ca~'-;M-e
DESIGNER
USE/NATURE OF WORK
, *---~~,
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
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
~
_BT ~WH
/,)~Lav _Sh
~WC ~FDr
J
/ll/--~-
_OW
_SP
_ WSoft
_OF
_ CBasin
L San. Sewer
e.-.J~~
_Disp
Vlh/c
_Ur
_ Storm Sewer
L Water
_Sink
Other
_LTub
_ Eject
_SS
IF"
. C-r..-/..-
ISSUED BY
/' :10 (.) ,0 0 _Permit Fee Paid $
fAJ jJCr~~;;/ Date
/
3~-D D /
/or/6'-9/
Park Dedication $
Final/O.P. J'~ -)} - q I
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ..4./1-... p~
- / '7T''''t}-- AGENT/OWNER
jlJ -;/6 -:II
DATE
ADDRESS
TELEPHONE #
ADDRESS
OWNER
NATURE
~;}. jl PLUMBING PERMIT APPLI~TI. ON
;7-~? ~~ DATE /fo -/ ..-
Jf 1;11 &/~1 ' .PL~ER
OF WORK ~~y~~_Z~, .,~-. ~~
I
NEl'] RELAY REPAIR INTERIOR
I
U
SAN SEW , ?lfu C 4F {F
WATER /CM, Bathtub Catch Basin
STORM ~EW I Lavatorv I Grease Trap
I Toilet ' J Sumo Pumo
INSPECTION DATE INSPE CTION DATE Kit. Sink Local Waste
a. -:~ _r~ /o-/S-'- Sink(other) Site Drain
Shower Laundry Stand P1.pe
f9jRr 10-/--0 JI Floor Drain I Laundrv Trav
Disoosal Wat. Softner
Dishwasher D. Fountain
F /~-I/ /' Water Heater' Ejector
TT,..ina1s Future outlets
~ /9()6 09
1** Violation note, on the reveroe ,idel CO fl:,P-P y--, ~~
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