HomeMy WebLinkAbout0021017-Plumbing (kitchen sink)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
21017
TYPE: BLDG D HTG D ELEC D PLBG,;l{ SIGN D ZONING
FLOOD PLAIN
HEIGHT
OWNER
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,7ht.J6T 6143JOJ:::;5
PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
r:Ti k/:FMtJPGL-
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
_BT
_ WSoft
_ CBasin
L..)
PLUMBING CONTRACTOR
_Lav
_WH
_Sh
_DW
_SP
_DF
_ San. Sewer
_WC
LSink
_FDr
_LTub
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
Other
FEES: Valuation $ :3 6.. 6 ,00
ISSUED BY C'9 ~
Permit Fee Paid $ /)1: '2 ~~o- /O..o<Park Dedication $
Date /c;7/Y;Pc; Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE
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ftJ//fP~
f . DATE
ADDRESS
TELEPHONE #
,;?
ADDRESS
OWNER
NATURE OF WORK
PERMIT APPLICATION
DATE,-S-- / - 90 PERMIT IF ;2 (0/'/
PLUMBER ~Ye'~-
SAN SEW IF IF
WATER Bathtub Catch Ba.sin
' STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE LA lKi t Sink Local Waste
, Sink(other) Site Drain
Shower Laundry Stand p~pe
)60 Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Founta~n
Wa,ter Rea ter Ejector
Urinals Future outlets
NEW
RELAY
REPAIR
INTERIOR
!** Violation notes on reverse sidel