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Home My WebLink About0016219-Plumbing (sewer) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 16219 TYPE: BLDG D HTG D ELEC D PLBG.Q( SIGN D ZONING FLOOD PLAIN HEIGHT .. .. .. ... .. ... ... ... ... - .. ... .. ... .. .. .. .. '" .. .. .. .. .. ... .. ... .. .. ... ... .. ... .. .. .. .. .. .. .. .. . _I ... .. ... ... .. .. ... .. .. .. .. .;. .. .. ._ ... ... .. .. .. ... ... .. .. .. .. OWNER s:tJ3 I-!~n/" 6 vvv-I- I/:v-'-J PLAN NO. . ADDRESS DESIGNER USE/NATURE OF WORK /1? ~.-<--v.,....-- ~. A --=- ~r(/../~ ~<'1~~ <- " , 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 PLUMBING CONTRACTOR 4! d"~cf?t/LC"t../l...r~ , _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _LTub _ Eject Other _ WSoft _DF _ CBasin -L San. Sewer -<;14 A-;::::1<;' _Ur _ Storm Sewer _SS _ Water -3 .~ FEES: Valuation $ 6l> (;) ISSUED BY ~-,~ ~~v" Permit Fee Paid $ ~ ~ Date 'I /,.;- /i Park Dedication $ Final/O.P. I () .-. Z. 7 -8 9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ UGLel..L-1 if IJ? /7) alRAn aArJ AGENT/OWNER DATE ADDRESS TELEPHONE # SAN SEW LJrl pt/( 4F 4F WATER Bathtub Catch Basin STORM SEW Lavatory Grease Trap Toile't Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste f /6 /~/n Sink(other) Site Drain Shower Laundry Stand p1.pe r ! O/P-l/f{f Cdvec/c/o/.. (1/ Floor Drain Laundry Tray p3JG Disposal Wat. Softner Dishwasher D. Founta1.n W.a.ter Rea ter Ejector' Urinals Future outlets PLUMBING PERMIT APPL.ICAT:WN / .... epi /~ DATE ,Ie) ,- .24- fi1 PERMIT # WORK: ~~~' (?~:;~:R<J:L~~::/l: /l;2/'1 . ADDRESS OWNER NATURE OF '- /Ur.L/t - NEW RELAY REPAIR INTERIOR [** Violation notes on reverse side1