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HomeMy WebLinkAbout0030459-Plumbing (added fixture) ~ CITY OF OSHKOSH N2 30459 PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~R-E~~ - - - - - - ~ ~~- - i~- J - - - - - - - - - - - - - - ~L~~ ~~.- - - - - - - - - - - LrJ t,~ r~~~ ~$~';J;t P--?(;OjL OWNER DESIGNER 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 a-~~ qJ~ _BT _WH _Sh _FDr _Disp _DW _SP _ CBasin ~ _Lav _DF _ San. Sewer _WC _Ur _ Storm Sewer _Sink Other _LTub _Eject _SS 7~ater 1-41>S~ff ~r-=~ {/!Is FEES: Valuation $ ISSUED BY ,s-o. a Ib Permit Fee Paid $ /0 ~ <:> 0 Park Dedication $ #- Date f?-......~ ~ -;:;~ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE , ~+l-dfS?z,h~~ AGENT/OWNER ?f'.JC.?5. DATE ADDRESS I! I!J. tfc/)(' ,.g rr '7 ,/f? f!' A/ /I~' b 19 cOt' S"q ~ 5' ,;7 , , 7dj~()oCt TELEPHONE # ADDESS OWNER NATt:Jlm REI.AY REPAIR nrmnOR SAN SEtJ # I wATER Bathtub Sump Purno sm Lavato" Ej ector Toilet: Water Softener tNSp!:enOH DAn: msnC'rtOH DAt! Kit. Sink Drinkin g Fountain Sink(other) .. . II 7/;3 Waterheater Slop Sink - Grease Trap {- Floor Drain Local Waste Laundry Tub I Site Drain FC>~ W S Disposal Laundry Standpipe Dishwasher Catch Basin ** Viola~ion notes on the ~everse side{