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HomeMy WebLinkAbout0012038-Plumbing (sewer) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12038 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DESIGNER di15 /lqA--'.n -e y 6u~b~ .re~ Se -<.-.--c. ../ PLAN NO. ADDRESS OWNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const; HEATING CONTRACTOR ~~ Heat 0 NC 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 JI?t:~-P-- ./ _Sink Other _FDr _ L Tub _Disp _DW _SP _ WSoft _DF - CBasin 4 _tSan. Sewer l' ;?t.--L _BT _WH _Sh _Lav _ Eject _SS _ Storm Sewer _ Water. _WC _Ur / Q/~~ /~V' FEES: Valuation ~ /ermit Fee Paid $ ?O_ ~ ISSUED BY . ~ Date / ...2. . Ej:" ~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~L/a ~ ' AGENT/OW R --------- DATE ADDRESS TELEPHONE # ::: ADDRESS OWNER NATURE . PLtJMBING PERmTt'APPLICATION . !~~ ~/1 'Y DATE i3dAt PERM"# ~. / PLtJMBER .41'//J/?"'"..<o/,4~ ~ OF wO!lJ< /".-<> -& :;;""4 d,:" '- /' NE'{i RE REPAIR INTERIOR . 1?-o3~ SAN SEW if 1; WATER Bathtub Catch Basin <::"IttJ Lavaton Grease Trap . Toilet Sutm) Pume INSPEcnON DATE INSPECTION DATE Kit. Sink Local Waste ~<-JWIu Sink(other) Site Drain ~'p~f Shower Laundry Stand Pl.pe Floor Drain LaundrvTrav Disnosal Wilt. Softner Dishwasher D. Fountain Water Heater Ejector TT...in"'ls Future outlets r** Violation notes on the reverse si~=t