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HomeMy WebLinkAbout0016250-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICJ(TION A'ND RECORD 16250 ~ TYPE: BLDG 0 HTG 0 ELEC 0 PLBG % SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - - ,20 ~~;; -;;) ~ j~; - - - - - - - - - - - - - - ~~N ~~- - - - - - - - - - . 7;; rC/f?A - / '-' - OWNER DESIGNER USE/NATURE OF WORK 5..e---r A /-e/~ L?~c/ &-crL/,- ,h~~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. 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 ~J 4~ (~Ah~q ~h/l'ij _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _fan. Sewer ~Pc/YC _wc _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS -I- Water /~ (~~ I Other U" FEES: Valuation $ 8tSO ISSUED BY fi./ ~~ "'") "on 0'"6 J' Permit Fee Paid $ ~ Date /1-7-4 Park Dedication $ 1/~/?f Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ DATE ADDRESS TELEPHONE # I" --- --.'-' -~._- i----.'-' ADDR~ OWNER :) 0 80 PLUMBING PERMIT APPLICATION ? 5' (1-U ./h cftJV'-1 'iC;c Ol1. e- ;)~~./ D~TE 7-;3 ~ - y1 PERMIT i::!: P PLUMBER ,lit- s (' ~~- J NATURE OF WORK ~ SAN SEW 4; 4; WATER Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toile't Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste Sink(other) Site Drain {t ~ ({T) 91;L~/gf ~Iz';; Shower Laundry Stand p1.pe Floor Drain Laundry Tray Disposal Wat. Softner D1.shwasher D. Founta1.n Wa,ter -,' Rea ter Ejector' Urinals Future outlets NEW RELAY REPAIR INTERIOR 1** Violation notes on reverse sidel