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HomeMy WebLinkAbout0021838-Plumbing (water service) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 21838 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - -ifh- - -.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /70 s- ~ PLAN NO. t ~ ,- OWNER DESIGNER t~~~ USE/NATURE OF WORK BUILDING CONTRACTOR 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 _BT _WH _Sh ~~ tf _ Disp _ WSoft _ CBasin w/C- PLUMBING CONTRACTOR _WC _FDr _ L Tub _DW _SP _DF _ San. Sewer _Lav _Ur _ Storm Sewer _Sink E Other _ Eject _SS _ Water ISSUED BY Permit Fee Paid $ Date /0 , ~ <:; f~J J,l-J;iV I / Park Dedication $ II FEES: Valuation Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~ ~ AGENT! ER ADDRESS ("2- -( 't- DATE TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS /:1tJ:J ~ DATE ///'L9, OWNER t y- PLUMBER I' '~ NATURE OF WORK 4J~ ::J.zJ 6-- ~ . V' PERMIT 4ft (!~ .;:2-1 <? 3 8' SAN SE'tJ I 4ft if WATER j'N"w lEa th tub I Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste r:D t1 /~j"~ Sink(other) Site Drain Shower Laundry Stand p~pe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountaln Water Heater Ejector Urinals Future outlets NEW RELAY. REPAIR INTERIOR 1** Violation notes on reverse sidel