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HomeMy WebLinkAbout0003815-Plumbing (laterals) ~ CITY OF OSHKOSH N! PERMIT - APPLICATION AND RECORD ,.. 03815 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN cO ZONING FLOOD PLAIN HEIGHT ADDRESS /781 I/?~Lxy /.'- !IC! l! I ~~ A ~ GtAg ),/",(.c-4;~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK / /; , ~~~A' /e,,- ~{".~ ,(>~k~ . . - -- -- l:..r'"_- _~.. ...', ,-- BUILDING CONTRACTOR Size Sq. Ft. # Rooms Height Occupancy Permit Foundation 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 t(;/1/1~AAL/ ?V-CC-~{~"~'19 ",. _ Disp _ WSoft _ CE?asin _ DW _ DF _ San. Sewer c;/ Ii ,Pv c PLUMBING CONTRACTOR _Lav _WC _FDr _ L Tub _SP _Ur _ Storm Sewer _ Water I f.( copf<------ _Sink Other _ Eject _SS ~\ 1::>$ FEES: Valuation $ J (./'0:". /ermit Fee Paid $ ISSUED BY ~./7~3'~~_ Date A: /C-dZ)-{ 4~ 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 &w4d~fI~ {l .. AGENT/OWNER .110. /"1 jJ DATE ADDRESS TELEPHONE # -......:..-----.-~--.-;---..._..;._:'_._~-e--,~..-...!..., (PLUMBING PERMIT APPLICATION PLOOER . Pa<-c !-fu,.~. . llATR sZ;, NAME OF OWNER I!cYl/f/ ~/L, C~AS~? 1< CJ3c?/S- ~ NEW SAN. WATER STORM SAN. WATER STORM . 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 BCith Urinals Ran2e Boiler Floor Drain Dental Cuspidors Future.Outlets