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HomeMy WebLinkAbout0011534-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 11534 TYPE: BLDG D HTG 0 ELEC 0 PLBG g SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - - - ~ -9 ~ -;; Ii"; 1;:;; - - - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - OWNER ~0 's~,,!l ~ ~ DESIGNER USE/NATURE OF WORK ~~ -.::f- l/VCA....4-ICi'A A. --r-Is BUILDING CONTRACTOR Size i Foundation Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit r" HEATING CONTRACTOR 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 ~(Ii ~~~# _Sink Other _ Eject _SS _ CBasin JSan. Sewer ~i:;~,-,C _ Storm Sewer /,- -L Water / r ~/....e-r _WC _FDr _ LTub _Disp _DW _SP _ WSoft _DF _Ur _BT _WH _Sh _Lav FEES: Valuation $ / t.fdV ~ Permit Fee Paid $ ~~ ~.~/ ISSUED BY /' /~J/ . '/~ Date /~ ~ ,~ 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 .pt.. ~ ..~ ~/R..sZ) .?;>~ AGENT/OWNER /.,,) - S-- R f' DATE ADDRESS TELEPHONE # ADDRESS OWNE:1t NATURE PLUMS NG PERMIT APPLI~\.tION DATE As- ~~-~ PLUMBER. Kr- e' . , (dW~r# 11))1 SAN SEW 'ItA #: 1~ WATER. F(A. Bathtub Gatch BaS1n ~'l'n~M SEW' Lavato" Grease Trap Toilet Sumo Pumo INS1>ECnON DATE !NS1>EC't!ON DATE Kit. Sink Local Waste i 2/ :1-;)($0 C"c:7t/CA,/:e~/' Sink(other) Site Drain 5""~ Shower Laundry Stand PJ..pe Floor Drain LaundrvTray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector TT,..inals Future outlets RELAY REPAIR INTERIOR t** Violation notes on the reverseside{