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HomeMy WebLinkAbout0003868-Plumbing (repair water service) ~ CITY OF OSHKOSH N! PERMIT - APPLICATION AND RECORD 03868 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG fiQ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - ~ - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - ~C/?~ t4~nrL ~~ + \];h~,~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK re~.::?A.;" CL/j"2~ ...s-~/" tY"I-C'('" BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. ' Height Foundation Occupancy Permit 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 '- S;~ rYw1~ _BT _WH _Disp _Lav _Sh _OW _WC _FOr _SP _Sink _LTub _ Eject Other _ WSoft _OF _ CBasin _ San. Sewer _Ur _ Storm Sewer / / .. ---L- Water ~l::v':d t"-'~ /Pl,,9-' _SS //=- FEES: Valuation $ ~~ . ISSUED BY ~ ':(J~ / ~r/ Permit Fee Paid $ . h Date 49 t' Park Dedication $ Final/O.P. ? (K;(R7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. -..-.-..--.----- J <= ':>'. <=..._...~:--~=- --=-- 1\ \ <....--.--:.._ ~ SIGNATURE -...L U...,. ""\.~ -..~ ~.~ \ AGENT/OWNER . DATE ADDRESS TELEPHONE # --.----:----.---.-~._,...,'".---w_.__._. PLUMB~ ~ );;~ff NAME OF OWNER - Zu' _ - <-' 0i lw, \' d~ ~, ~:? tvs 8v- PLUMBL~G PERMIT APPLICATION . {5]8&,&, ,~ DATE ,~47 - ADDRESS ~Y9n d-V1-t( ~ ~~ '~--~""'-- --' .---..--.-...--------.--.- f/1 c c... tF"--r-e:>CC- ~ ~.. _ NEW SAN. WATER STORM RELAY (J SAN. WATER STORM Main to Curb Main to Curb Curb to Bldg. Curb to Bldg. " Elect. Pumps Repair I Septic Tanks I NEW REP. NEW REP. NEW REP. Ba th Tub Gar. Disposal Catch Basin . Wash Basin Dishwasher Conductors . Water Closet Laundramats Grease C.B. Sink Water Softener Sump Pump Water Heater San. Bubblers Bar Was tes Shower Bath Urinals Range Boiler Floor Drain Dental Cuspidors I I I Future Outlets I I