HomeMy WebLinkAbout0014762-Plumbing (interior)
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CITY OF OSHKOSH N2
PERMIT - APPLICA"TION AND RECORD
14762.
TYPE:
BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING
FLOOD PLAIN
HEIGHT
- --.... ---.......... --................... --.... --........ --.. --.. -...... --.........-........................ --.... ----
OWNER
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
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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
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
.f) ~. ~- 7~
PLUMBING CONTRACTOR J) '-. l /"l4/i/rt
-iBT 1WH --
;~ Lav LSh
d WC 1FDr
-I- Sink - L Tub
Other J ':Crd..UYI It"~1
_Disp _ WSoft _ CBasin
~DW _OF _ San. Sewer
-Lsp _Ur _ Storm Sewer
~ Eject _SS _ Water
FEES: Valuation $tt lj./ 0 'J A 60 Permit Fee Paid $ ,
ISSUED BY ~~~. Date
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!? - ?- ~??
Park Dedication $
Final/O.P. J - Ql. 7 - 90
agree to perform all work pursuant to rules governing the described construction.
SIGNATURE /'
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AGENT/OWNER
1/;,/n
DATE
ADDRESS
TELEPHONE #
~5UMBING PER..'!!'! APPLICATION
ADDRESS ~ 6S"''t5 :'.' L k DATE 6' - t:" -. d
0WNE1! JC4-d / . ,:1,/;3 "LUMBER ,.r? P44"";
NATURE OF WORK(?'P -(;<./ S? . .' . . ,
mol RELAY REPAIR INrERIOR
PERMIT;'! /?/- J) ~ 'J ~
NSPECTION
DATE
INSPECTION
DATE
(d'7/C.re/ ~ /jd~r~
n
ADDRESS
OWNER
PLUMBING PERMIT APPLICATION
/v ??U ;h G, kP'i/\..-f DA;E C; / J.-? /1'iI PERMIT ifF
',/ 'PLUMBER IJ F!:::Vc..t/l/l ~
IV ~t/- sf
o
ILl 7(;2
.
NATURE OF WORK
SAN SEW ifF ifF
WATER '. !Ba th t ubi Catch Basin
STORM SEW Lavatorv',du/ Grease Trap
r:: Toilet II' I Sump Pump j
INSPECTION DATE INSPECTION DATE Kit Sink T Local Waste
Sink(other) J Site Drain
. I Shower It 'J Laundry Stand p1pe I
f~3/~7llJ r Floor Dra1n ) Laundry Tray
Disposal Wat. Softner
J Dishwasher D. Founta1n
/ Wa.tt:!:t' Rea ter I Ejector'
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
1** Violation notes on reverse sidel