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HomeMy WebLinkAbout0043852-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~ {J 5!-- N! 43852 ~P_E~ _ _ ~l~~ _~ _ ~T~ _ ~ _ ~~E~ _ E?~_ ~~~ ~ ;~~ _r:: _ ~O_N~N~_ _ _ _ _ _ -"~~D_ ~~'~ _ _ _ _ _ _ ~~'~~_ _ _ _ _ ADDRESS )2-~,J- h ~~/ PLAN NO. OWNER ~O.-~~-z_ 8~~~ DESIGNER / J-...-~ 0 s.,.<' /1/ USE/NATURE OF WORK BUilDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 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 PLUMBING CONTRACTOR _BT _WH S ~4---?-'7~ _WC _Sh _FOr _ L Tub _Disp _ WSoft _ CBasin _OW _OF l San. Sewer VfJ ,j L _SP _Ur _ Storm Sewer _ Eject _SS -L Water 14--.-- _lav _Sink Other FEES: Valuation $ lf3d 0 '" G6 #~~ ISSUED BY Permit Fee Paid $ Date /' I /" ?~, "......---0. ..--..-.... "". '--' ~ Park Dedication $ ~? /7> )FinallO.P. In th~~ _ this work I agree to perform all work pursuant to rules governing the described construction. -......... ~,..'" ~~~, SIGNATURE DATE ADDRESS TELEPHONE # SAN ~ IJA'l'Ea .~ <<=1:'U t/{J\JL I C;""""_ # Bathcub La.vacarv Toilec J:it. Sink Sink(aCher) Wate....heater ~ INSPECTION DAm msncnON DAD ~c.;.(;z..ry 3:IS- Floor Drain Laundry Tub Disposal Dishwasher /~~~ ** Violation notes on the reverse sidel, fo ?-- y.z BS;>- # Sump PU1l1D Ejector Water Softener Drinkin q Fountain TT...;n;:!l Slop Sink Grease Tran Local Waste Site Drain Laundry Standpipe Catch Basin