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HomeMy WebLinkAbout0044002-Plumbing (repair sewer) ~ CITY OF OSHKOSH PERMIT - APPLICATION A.ND RECORD V3/ N! 44002 ~P_E~ _ _ ~L~~ .~ _ ~T~ .l? _ ~~? _l? _ ~~B~ _~ _/G~ _~ _ ~O.N~N~ _ _ _ . _ . ."~~~D_ ~~'~ _ _ _ _ _ _ ~~'~~ _ _ _ _ _ ADDRESS /D / ;y!c.q:-;h PLAN NO. r> -#- C/ / '6b. OWNER J, ~~- t;;7?_"".U_fl-d~.JL- '1'.p~""7- DESIGNER USE/NATURE OF WORK ~ _4'~:" d~ ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. iii 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 _BT _WH I( ~--t;; _Lav _ San. Sewer ~ fUe c _WC _Sh _FOr _ L Tub _Disp _DW _SP _ WSoft _DF _Ur _ CBasin _Sink Other _ Eject _SS _ Storm Sewer _ Water FEES: Valuation $ :5..30..0 <) ISSUED BY ~~ Permit Fee Paid $ Date Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .~ C~ ~p,e~-o S s)Ar- .g - to~. 9<;;'- ADDRESS '? t/,l-y AGENT/OWNER ~~~ DATE 0~~ ct/~l. .r?).-?9?r- TELEPHONE # .iDDUSS OWNER NATOU ~PLmmING l'!1lHIT APPLICATION /~~~ ~~.. , DAn ;/""VS- _JPHITI 5:. _.!,. _ -:::::.~ _ PI.mmn ~ Ce~ OF llOlUC f -e~~ .<:?Afi?~/ ~~~ , NEtl ~I.AY BDAIR nrr:!llIOll YCro O.?- SAN SEW 6fvL # # wA'IER Batheub Sumu PUIllD ..TnR"" SEll Lavatorv Ejector Toilet Water Softener INSPECTION DA'IE INSPECTION DA1!: fit. Sink Drinkin Q' Fountain Sink(otherl ThO;"<ll W::lterheater Slop Sink Grease Tran Floor Drain Local Waste Laundry TUD Site Drain Disuosa1 Laundry Standpipe Dishwasher Catch Basin ** Violation notes Oft the reverse ,ide~