HomeMy WebLinkAbout0047929-Plumbing (laterals)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N!!-47929
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS 1S()%,..- ~) 0 t-\ 0-..1Y\ Q j Ave.
OWNER~hDIl )('CL~e fus-tom Yo rnes
PLAN NO.
DESIGNER
USE/NATURE OF WORK Aktd J)UfJ# X 1/ {JofcSlr!e pfoJf'V\. Wt:!j
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
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 (e \ +h Cn~S
_BT
_WH
_Sh
_FOr
_ L Tub
_Disp
_ WSoft
_OF
_ CBasin
L San. Sewer
4. Q/aslc C
,
_Lav
_OW
_SP
_Ur
_ Storm Sewer
--J.- Water OJ . (' ()o~r
, "
_WC
_Sink
Other
_ Eject
_SS
i
FEES: Valuation ~ Pormlt Fo. Paid $.IiO J
ISSUED BY ~ Date /~/::::r~"-
/
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
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AGENT/OWN R
e6 ,,:;1 ~""S:;S'-
DATE
ADDRESS
TELEPHONE #
Plumbing Permit Work Card
Permit ~umber,.. ~OQeee-- 'f-l7;z /
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Contractor COATS, KEITH
Owner'
Job Address - "808-81 0 HARNEY AVE
SHOWCASE CUSTOM HOMES
,..C",tegory
.
..htub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Use/Nature
of Work
Create Date 09/25/95
401 - Residential-Exterior (laterals) Plan
Shower Ejector/Grind Dip Well
Floor Drain Water Softner Drink Ftn
Lndry Tray Local Waste Wait. St.
Lndry Stndp Clothes Wshr Ice Chest
Disposal Bidet Exam Sink
Dishwasher Beer Tap/Soda Sculry Sink
Sump Pump Dent. Oper. Hand Sink
Value
$0.00
F Prep Sink
Serv Sink
Shamp Sink
Flr/Wst Sink
Catch Basin
Wash Ftn
Urinal
Grease Trap
Receptor
Other
NEW DUPLEX OUTSIDE PLUMBING
Sanitary Sewer
Storm Sewer
!~
. _ dter Service
Size
Material
Type
#
Conn.Type
4
Plastic
New
Lateral
Copper
New
Lateral
Date
r
Type
U Approved
Inspector
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1 - ;.~ / ., S