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HomeMy WebLinkAbout0031798-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 31798 TYPE: BLDG D HTG D ELEC D PLBG k SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - -. - - - - - - -, - -. - - - - - -/ - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS It, /.s- 1;~ PLAN NO. S~~6~ WF~-(!J~0 OWNER DESIGNER USE/NATURE OF WORK 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 r:" ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits _BT _WH _Sh h~ - Disp _ WSoft PLUMBING CONTRACTOR _Lav _DF _ CBasin ---.L. San. Sewer ~ _WC _FDr _ LTub _DW _SP t.f Iv c _Ur _ Storm Sewer -.L Water / ~ _Sink Other _ Eject _SS FEES: Valuation $ ISSUED BY 7 $-0 .QD ,j;fP Permit Fee Paid $ Date / ..2- 0 . 0 C,'/ /..l-/ r-/7 2- I I 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 ~---....J... V ~r7~~ ~~ AGENT/OWNER . ( l-- ~ 2- -7 ''L- DATE ADDRESS TELEPHONE # . SAN sml Vlvc. # # iJAn:lt / c....-..- BachCub Sumo Purno ""T[JH""-~W Lavacm Ejector ~ ToileC Water Softener !NSP~CTION DAn: tNSPEC'nON DA'!! Ki. t: . Sink Drinkin Q' Fountain ~w/O,A ~ A_ f-- SiDk(other) fho'; n::>. WJ:lte-rheater Slop Sink 'H' -1 so. 7l G-rease Tran Floor Drain Local Waste Laundry Tub - Site Drain Disposal Laundrv Standpipe Dishwasher Catch Basin , pmmING PEmaT APPUCAnON 1(,15 &~_ DAn 1//-'-:"' ~ S9~ ~~ l'L1IIlIIU " ~ ~~ oum: ~ d ;JSEf.. () . ~. NEt~ RELAY BEP AIlt RIoa ?/?7'%' ADDRESS cmtEll NAnm.E: ** !;.olationnoees 0': ._the nve'l'Se sidel -"""""!,,,>,^", "'",-(S':"'-"."~"':"''""'->'''*:'f"!,_.^,,:,-(,,\,\,i:;,,,+ !;::.~:~:j '~,k'" .->;