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HomeMy WebLinkAbout0023168-Trapped & Vented Receptor ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 23168 TYPE: BLDG 0 HTG' 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - ~Q': r jp~:2f::~~~-_-.~- ;d-;;:Y:L - ~~~ ~~- - - - - - - - - -' C .--ed-~'~__ C ~__~ ___/ OWNER DESIGNER USE/NATURE OF WORK , ~tZ ~. I .C/--~~. ~~ [) 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 I p~~' _BT _WH _Lav _Sh ( _WC _FOr _Sink ~ L Tub ~t Other _Disp _OW _SP _ WSoft _ CBasin wdJL- _OF _ San. Sewer _Ur _ Storm Sewer _ Eject _SS _ Water FEES: Valuation $ .;:z.S-O _0" Permit Fee Paid $ ISSUED B~ ~.~ Date / V" /'D . e. 0 Park Dedication $ Final/O.P. 7~/6 -9/ ~'-/ ._,,,/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE -----/, ~~ ..., AGENT/OWNER Aff9d.L/?/ 6' "',/ >./ '9 / DATE ADDRESS TELEPHONE # ADDRESS OWNER NATURE 1/8' fi-' S!-f . PL1JM1!ING i'ERMIT APPLICATIO~ ~~~ DATE :yo>sj9~:ERMITiI;2 ,?/(,,2 G; L PLUMB~ I ~ OF \lORK /~/~ ~,J6-'-./ "'-<'.-:r NEW RELAY RE A. R INTERIOR SAN SEW iF iF WATER Bathtub Catch Basin c:.'T'ORM SEW Lavatory Grease Trap Toilet Sumo Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste A1::~~-~~~' ;C Sink(other) Site Drain Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain F 7- If::; -7/ Water Heater Ejector TTrinals Future outlets {' IJ A ,?jIN~'~ ~. ~ . .,. / I _ . - - / _ - " \ ~J ~::t! 1: 4{;l.J 7:7 h'vL-G ~..L-7~" t** sidel ~ ( 1(~7J Violation notes the ((~, /h ;? - L Mf-~ - .~ on reverse '!O . ,. . -=m ( --- (1-.... - If (j