HomeMy WebLinkAbout0003157-Plumbing (laundry addition)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
03157
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TYPE: BLDG 0 HTG 0 ELEC 0 PLBG.:Dt SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK
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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
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_BT
_WH
_Sh
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_ San. Sewer
_Lav
_WC
_FOr
-I- L~
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
I
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FEES: Valuation $, : D ..-Permit Fee Paid $ ~"r-- .
ISSUED BY . .A...r-" ~?r/' Date 5,/:3' If?
Park Dedication $
Final/O.P.
all work pursuant to rules governing the described construction.
SIGNATURE~
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6. ,
DATE
,;
1 :ScS -. ~22?
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TELEPHON #
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STAT!: OF WISCONSIN
being first duly sworn on oath deposes and says that he is not
a licensed plumber, and that he has applied for a plumbinq
permit to the Plumbing Inspector of the City of Oshkosh, to do
plumbing worK in, a home owned and occupied by him, or a home
that is, being constructed that is owned by him, and which .will
be oc:e1Jpied by him as his home when completed. That he is not
building said home. for the purpose Of sale.
Th1saff:S.da'V'1t is made for the pU:z=t)os,e Of complying with
the previsions of the plumb:S.ngcode, of: theC1ty of oshkosh. and
the State of Wisconsin, which provides that all plUmbing work.
must be done 'by a licensed 'plumber except that the plumbing work
may be done by one who owns and occupies his own home ,providing
',the installation complies with the plumbing code of the City of
Oshkosh and the State of Wisconsin.
f..
This affiant understands that the Plutnbing work authorized
by the permit applied for, must be done only by this affiant and
that he cannot employ others who are ot licensed plt$bers to
assistw1th the work..
Dated thiS/~. day of
SUbsc'r:f.J~ed and sworn to. before me
this 13 ~gay of V'i'bhd'J , 19 8' 7 .
Ch rJJ)fY--L ~. mrJunJ R "
NO,ta ry public, Winnebago County, Wiscons i1:1"" '
My Commission Expires: fS/5/Q()
.
PLUMBER
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PLUMBING PERMIT APPLICATION
DATE -3), I ~ (/f-j)
ADDRESS /olt' LA/' ~ t'1~
03/f)
NAME OF OWNER
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NEW SAN. WATER STORM RELAY' SAN. WATER STORM
Main to Curb Main to Curb
Curb to Bldg. Curb to Bldg.
Elect. Pumps Repair
Septic Tanks
L
NEW REP. NEW REP. NEW REP.
Bath Tub Gar. Disposal . Catch Basin
Wash Basin Dishwasher Conductors
Water Closet Laundramats Grease C.B.
Sink Water Softener Sump Pump
Water Heater San. Bubblers Bar Wastes
Shower Bath Urinals Range Boiler
Floor Drain Dental Cuspidors Future Outlets
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