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HomeMy WebLinkAbout0022253-Plumbing (bathroom) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 22253 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG M SIGN 0 ZONING FLOOD PLAIN HEIGHT -.. --........ ---.. -...... -.... --.. -.. -.... --- --.. -.... -.. --.. -.... -- -- "'--.. -.. __.. _.. 00.... _.. ____ ADDRESS .7-/ 6? /L4_J2.:~ j-v-LJ L~ J(~ R~~ ~ h~-~ PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. : 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 PLUMBING CONTRACTOR #~~ 10/ 1BT _WH _Disp P _WSoft LLav _Sh _DW _DF -Lwc _FDr _SP _Ur _ CBasin w ,fft- _ San. Sewer _ Storm Sewer _Sink Other _ L Tub _ Eject _SS _ Water FEES: Valuation $ /? DO, 0 0 W ~~;>"- Permit Fee Paid $ Date Park Dedication $ Final/O.P. /7.. J! f31 q z) ISSUED BY In t~ce-6f lli~~ to per:fO?m all work pursuan.t to rules governing the described construction. . ~~~ /. //;7 /_ ______ /'_c;.~. SIGNATURE / / -- . ~~~ ( . <.=Z ,/ 0 <-;- ./ ~.. /'7 . AGENT/OWNER DATE ADDRESS I~.,--.---/ ~y '~7z3 ~---/~3tV/,- ~G~ TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS OWNER ~ :.-u~ SAN SEW WATER TORM SEW INSPECTION DATE D J{ !;;L//o/'ftv INSPECTION DATE t** Violation notes on the reverse sidet PERMIT4fr . .J.-.:J.d-~.3 4/~/7 4fr Catch Basin Grease Trap Sum Pum Local Waste Site Drain Laundry Stand Pipe Laundr Tra Wat. Softner D. Fountain Ejector Future outlets