HomeMy WebLinkAbout0008163-Plumbing
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CITY OF OSHKOSH N2
PERMIT - APPLICATION -,AND RECORD
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08163
TYPE: BLDG D HTG D ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
, Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
I'
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
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PLUMBING CONTRACTOR
+BT
+Lav
-r- WC
-+ Sink
Other I -
--I- WH
_Sh
_Disp _ WSoft _ CBasin
-LDW _DF _ San. Sewer
-I- SP _Ur _ Storm Sewer
_ Eject _SS _ Water
--I- FDr
_ L Tub
j<,<w' --eLy
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FEES: Valuation $ Permit Fee Paid $ .. k
ISSUED BY .. ,.g,;;;>~ Date 7//,
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Park Dedication $
Final/O.P. q' - :~D- 8 r
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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ATE
ADDRESS
TELEPHONE #
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ADDRESS
OWNER
~. ~~ ,PM::G PERMI:A:PL.~5/:V~ . PERMIT# C'iPN:?
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NATURE OF WORK
NEW
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SAN SEW :/1 ib
WATER I Bathtub I Catch Basin
STORM SEW ., Lavatory I Grease Trap
J Toilet I I Sump Pump ,
INSPECTION DATE INSPECTION DATE 1 Kit. Sink , Local Waste
;(.:r dUb 6',iqS1! >fy Sink(other) Site Drain
Shower I Laundry Stand Pipel
1 Floor Drain 1 Laundrv Tray .
Cf/30/gr; I Disposal Wat. Softner
r I Dishwasher I D. Fountain
'I Water Heater 1 Ejector
\ TTrinal s Future outlets
RELAY
REPAIR
INTERIOR
1** Violation notes on the reverse side}