HomeMy WebLinkAbout0029975-Plumbing (bathtub faucet/spout)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
29975
TYPE: BLDG D HTG D ELEC D PLBG~SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
.'
ELECTRIC CONTRACTOR
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Electric Servo
New D Change D Temp D
Type ~ Volts ~ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
I
II
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_BT _WH _Disp _ WSoft _ CBasin
_Lav _Sh _OW _OF _ San. Sewer
_WC _FOr _SP _Ur _ Storm Sewer
_Sink _ L Tub _ Eject _SS _ Water
Other
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FEES: Valuation $ /./ 8 , 0 0
;P
Permit Fee Paid $
Date
Park Dedication $
Final/O.P.
ISSUED BY
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~. 141 1- !--~
AGENT/OWNER
ADDRESS (L1 0 "J. S P ~
~-J-r2
DATE
;;L 33-' 7 Cf7
TELEPHONE #
n.mtBmc nmaT APPLICATION
ADDIlESS Y .?~..5 ~ DAn: g - -3~.9 2- PEIIHIT# ::29,9- 7S-
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NAnJIlE aFtlOlllt ~.k~:t'-..LIc-L ' -...:..?t'l~ ) T~~ )(s
NEtl B!I.AY REPAIR nrrERIOa
SAN SEll # I
wATER Bathtub Sump Pump
gmJ: Lavatory Ej ector
Toilet Water Softener
!NSPP.:cnON DAn msnCTION DAm Kit. Sink Drinkin~ Fountain
i 14 ~-~ II: /0 Sink(oCher) Th-;n"ll
~O , Waterheater Slop Sink
f"_r S 0 ~. ( ~ffc_:~~.eIJ
i" .,.?~ <::1" uo... Grease Trao
I 5...
Floor Drain Local Waste
., Laundry Tub Site Drain
F fj-J I Disposal Laundry Standpipe
Dishwasher Catch Basin
** Violaeion not:es on the reverse sidel