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HomeMy WebLinkAbout0007779-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 07779 ,\" "" TYPE: BLDG 0 HTG 0 ELEC 0 PLBG JA'- SIGN 0 ZONING. FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - - -.; -; ; a - -~ ~ ~~ - - .-- - - - - - - - - - - ~~~ ~~- - - . - - - - - - - VZz/1~ ;e~ vi OWNER DESIGNER USE/NATURE OF WORK S-~/ --d--1'_(/~.xfr..A. BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height , Occupancy Permit Foundation Class of Const. HEA l'1NG CONTRACTOR ~ Heat 0 NC 0 Vent 0 Fuel/System Heat Los~ BTU'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles . Circuits \J64~ ~'-cr~ - Disp _ WSoft PLUMBING CONTRACTOR _BT _WH _Sh _DW _SP _DF - CBasin //?( L?JL -I- San. Sewer 7 ~ - Storm Sewer f- Water /1( c,fP-r""- _Lav _WC _FDr _ L Tub _Ur _Sink Other _ Eject _SS . . I ..-."."..'......V FEES, Valua!;on $ ~ Penn' Fee pald.$... /~~ ISSUED BY ~~/ ,Date .9 Park Dedication $. ~ Final/o.p.3~ I' . In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ ~~ DATE ADDRESS TELEPHONE # ,-"., "'t~',:;:i':0z~\\tk;:i{~~:;;~::::~;::<;. . ',....1 ADDRESS ,,";'/6/ () OWNER '~.;.. NA TURE OF WORK NE~-l - ALUMBING ~;:,f~ SAN SEW .y4 1ft 1ft WATER / L- Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Loc al Was te Sink(other) Site Drain I 0/9tfg Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets <.S'~ RELAY "REPAIR PERMIT APPLICATION DATE. '- g /9 kef (7-0 hn 'i :<'I PLUMBER ~... PERMIT4ft . ( ~-<..-L./c:?-c.- t?;7?;l~_ INTERIOR (** Violation notes on the reverse side1