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HomeMy WebLinkAbout0007778-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATIO"N, AND RECORD 07778 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG J;2K-SIGN 0 ZONING FLOOD PLAIN HEIGHT ADDRESS - - - - - - - - - - - - - - - - - - -. - - - - - - - - - - ~- - - - - - ~ - - -- - - _ _ _ _ _ _ _ ~ ~ __ J__ _- __ _ _ _ _ _ _~_ _ 2616 ~:~ /Z~~ ~~~ / ' PLAN NO. OWNER DESIGNER USE/NATURE OF WORK Sc: A -<./" +-" ---L .ra.t........ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height , Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR ! J 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 Wh~ - ~ ~------ _BT _WH _Disp _ WSoft _ CBasin Lf~L _Lav _Sh _DW _DF --;t. San. Sewer _WC _FDr _SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS ~ Water /4 r'P;;X:- Other ~ zJ FEER ValuaUon $ .__ "'. ~ Permit F . Paid $ /t -------. ISSUED BY.. Date L 5" ~ . / Park Dedicatio~ Final/O.P. _~ .-,..,."-".-.,...<'".,,..........,...'.^ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR~/~ . AGENT/OWNER ADDRESS DATE TELEPHONE # . ,.'0 ..,. "'..~".7-.:-.~,.'..;.-e;;.;'''''f''..;_.i'.".~.,.,..,''"'...,'''._.,;,"'"''''-''2'i.1SDt?i~1E~;V'''''''~''' :",_.. , ;""A'-;i.,";"'-':'" NATURE OF WORK ~LUMBING Pc? q Q 1i:::' 71.. Ii~ / J'C/~ ,~ PERMIT APPLICATION DATE l5'I9M PLUM15ERh:MhnS ~ PERMIT4F ,5e.t-.../. ()77")g' ADDRESS OWNER SAN SEW Lltf iff: iff: WATER JiA Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain r 3 (cr!gg Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector TTrinals Future outlets NEH RELAY REPAIR INTERIOR t** Violation notes on the reverse sidel