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HomeMy WebLinkAbout0007090-Plumbing ~ CITY OF OSHKOSH N2 PERMIT - APPLICATIO'i\J A:ND RECORD 07090 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT .. ... ... .. ... ... .. .. ... ... ... ... ... ... ... ... ... ... .. ... ... ... ... ... .. ... ... ... - .. ... '_ ... ... _-... ... ... ... _' - ... 1- ... ... ... ... _'__ _'__ __' '", ... ... _'__ ... ... ... ... ... ... ... .. ... .. .. ADDRESS d?:!J-7a ~ +~;~ ~;(- PLAN NO. OWNER DESIGNER USE/NATURE OF WORK ~/LA-1 .srI'< , /~/-L )O~ j~f 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 -I- BT -J- Lav {WC -f- Sink Other /-- , PLUMBING CONTRACTOR ~ t./r' ;j{ . -I- WH _Sh -1- FDr --I- SP _ L Tub Eject /a~c/'l ,.....~~//~~ _Disp -LDW _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _SS _ Water FEES: Valuation $ ~'{60 ~ A ISSUED BY /~~0'?7( .. CJ<J V' Permit Fee Paid $ ..:{7'- Date c2//JYk Park Dedication $ Final/O.P. 3 - ? - 8 $ q -/1 r 8 ~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUREP(~ ~ ~''',o,'''" .::;//?::.rcf ADDRESS J;9P/ ~/ /!Jt! ~ -$'-0 6"/7,f'9' G"81-z.z-92- TELEPHONE # ADDRESS OWNER NATURE .. ;4.UMBING PERMIT APPLICATION ?d ,~t', "',. DATI; ,,-2~ ~RMIT II c;~ :;,~ --,,,A- - PirER o@;.~~~ 1((' _ OF WORK ~ oS' ?<: tJ?01tJ ~ NEW RELAY REPAIR INTERIOR 1f !Bathtub r ..J Lava tory I , Toile't ;;z... Kit Sink I Sink(other) ~ Shower , Floor Drain I I * Disposal I I Dishwasher I I Water Heater I Urinals 1ft SAN SEW WATER STORM SEW INSPECTION DATE INSPECTION DATE 'A~Jl r~ ~ ~ r .L//I1 Jr V 7.1. (' Yef,J:--0!x fc p(~ vi6f //-'1'Sd?/1e Catch Basin Grease Trap f Sump P1.lmp ( Local Waste Site Drain j Laundry Stand p~pe I Laundry Tray Wat. Softner D. Founta~n Ejector Future outlets [** Violation notes on reverse side'