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HomeMy WebLinkAbout0006342-Plumbing ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06342 ~~ TYPE: BLDG 0 HTG 0 ELEC 0 PLBG t8( SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ~ - - - --- - __I-~ .' ._. - - - .' - - - ~_ ~ __ - - ~ - - ~ - - - ~ ~6!~;(d14AA/~ fZ Jf A (cPVl'~ In-u ~---'___ PLAN NO. ADDRESS OWNER DESIGNER Pav S? //ts~eI /Lfn~ USE/NATURE OF WORK 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 4 k v;!!c ~ BT -.. -I- WH _ Disp _ WSoft .:2.... _Lav _Sh _DW _DF ..:z. wc -I- FDr -L SP _ Ur -I- Sink - L Tub . Eject _ SS Other l-IOO'A~~ sJ.J;:l"- ~ ... ..~ .~/' FEES, VaIUatiO~~~ _ PennO Fee Paid $ 33 ~~ ISSUED BY ~_. ~ Date Iii .' . _ CBasin _ San. Sewer _ Storm Sewer _ Water Park Dedication $ Final/O.P. I -<f - ~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURf?'il~ ~~K /?7~ &f(J1 AGENT/OWNER / / -~(/-('i I? DATE ADDRESS TELEPHONE # ADDRESS OWNER NATURE ,;7~5 ~,!i:---UMBING PER~::PL)i;;A7 ~~RMlT # Iff: ~ ~A\-kac-l"~ PLUMBER 4k{//~ OF WORK ~A .J _ (" ft """\'" ! O(?(L NEW RELAY REPAIR if SAN SEW WATER STORM SEW INSPECTION DATE INSPECTION Catch Basin Grease Tra Sump P1Jmp Local Waste Site Drain Laundry Stand p~pe Laundry Tray Wat. Softner D. Fountaul Ejector Future outlets ()t1iJ! (lis-In ((r. /I/J..'i(n 1** Violation notes on reverse side}