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0003375-Plumbing
~ CITY OF OSHKO~SH N2 PERMIT - APPLICATION AND RECORD 03375 TYPE: BLDG 0 HTG 0 ELEC D. PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - -; ~;r- 4~-"4 - - -- - - - - - - - - -" " -:~~ ~~- - - - - - - - - - . F=/c; . ,. J 1 OWNER DESIGNER USE/NATURE OF WORK /1.1.> A jI ~'- ,5.r- / ~~ / ~ /4vzru 6<.y--r( BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. 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 iBT LWH L Lav --I- Sh 6wc -I- FOr -I- Sink -I- ~ --" / G~/!V~(At /f/-. 64:/ _Disp _ WSoft _ CBasin ~DW _DF _ San. Sewer --I- SP _Ur _ Storm Sewer _ Eject _SS _ Water Other 32Qi ~-- ~~ FEES: Valuation ~~..:~ /t Fee Paid $ ISSUED BY ~- /- .--. ~. Date Park Dedication $ Fi nal/O. P. '1/,;).1 / tf 7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~ l;k ~ //: -I- IJp -~ ~ SIGNATURE 'v-r?: t/~J f) D .SO I' , 6ENT/OWNER t" ~}?~. ~ , .. DATE ADDRESS TELEPHONE # ~-'-'--~4--,.,"__'.~..~~~.,___,._.,..__...._ /he~ CJU.. NEW PLUMBING PERMIT APPLICATION ,'5.~",,".~ 4t;I " . DATI:.3 /-V h 0-JJ ADDRESS-<,,)7~4a/W>:~h . r it/h7 lvev-" ,S'f'; STORM RELAY 0'-33 7~ PLUMBER NAME OF OWNER WATER SAN. WATER c ove~ ') STORM .. NEW REP. NEW REP. NEW REP. Bath 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 Wastes Shower Bath Urinals Range Boiler Floor Drain Dental Cuspidors Future Outlets I') . 1/ U I ( I ~ I.({ /f.("fi~ U''''-j'Te. . 2) A6V'2--. (/1'1;'7 vC;t/L/J'- ( c<rYi/~chc/ 5~) ~J 3/.:;k7 ttt 5j~7 IFz r/r5k r () 110 vtJ ({LA, /~~ce~ 2) :hJvvort:: .p, ~hv-<- ~eAA ;~r- . /t" ~ =J<JuetA / w? 'Se~.;; /' WJt k I"G c: (, dVL/;.. ( /~YYPf ee) J ~ ~;.