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HomeMy WebLinkAbout0008123-Plumbing ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 08123 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG a... SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - OWNER R?() ~ j~I/;~A/ ..:;& 'sq~4 PLAN NO. ADDRESS DESIGNER ~~~.~AiK USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height . Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR 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 ~t.... ~ BT -L WH --I- Disp ::2.... Lav _ Sh -L OW "2 WC ~FDr -I-SP 4~:!2~ _ WSoft _DF _ CBasin _ San. Sewer _ Eject _SS _ Storm Sewer _ Water _Ur -I-- Sink Other / - . FEES: Valuation $ 36"(12) ~ ISSUED BY ~.r/' Ir- ~ 3 / .. . ........ .......c....... r Penn" Fee Paid $ ~~ Date ~ 4r , Park Dedication $ ~ Final/O.P. ~/~ In the pertonnance of this wo~g'ee to pertonn all wo'. pu,suant to 'ules goveening the desc,ibed conSf,"ct'6n. SIGNATURE~ ~ ,{;:;~, DATE ADDRESS TELEPHONE # .sq kk ADDRESS OWNER NATURE , PLUMBING PERMIT APPLICATION . ~ &?lo 4,jtJV(/i"~ e~ DATE c?~3m JnT" ~ /0 A' PLUMBER ,K"o--r-/L OF WORK A/e~J iY'r PERMIT iF OP/23 SAN SEW iF iF . ;Z !Bathtub - WATER Catch Basin STORM SEW .:< Lavatorv Grease Trap -< Toilet J Sump Pump INSPECTION DATE INSPECTION DATE I Kit Sink Local Waste Sink(other) Site Drain f't~lc' {o/rlgl Shower 1 Laundry Stand p1.pe ;11 e .fe4.--. (fli I- /d 1.<$ Iir I Floor Drain I Laundry Tray J Disposal Wat. Softner r J/;~/8<1 J Dishwasher D, Founta1.n I Wa.ter Heater Ejector Urinals Future outlets NEW RELAY REPAIR INTERIOR 1** Violation notes on r~verse side! I-