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HomeMy WebLinkAbout0035580-Plumbing (lateral) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 !/-3/ 35580 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER V7/!ftI . p~~ i?c~ PLAN NO. ADDRESS ~T DESIGNER f?.~ ~~ ( V" D.I. ) USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. lis> 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 B~ _BT _WH _Sh _Disp _DW _SP , _ WSoft _DF _ CBasin _ San. Sewer ~ _Lav _WC _FDr _LTub ~Ur _ Storm Sewer _Sink Other _ Eject _SS _ Water / t/ FEES: Valuation $ ISSUED BY bOC:>.oO b=' - Permit Fee Paid $ Date /0, 0 0 Park Dedication $ Final/O.P. K/ :Jo/9~ ! ,. SIGNATURE In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 10.",- "3,~3~~ ~f?:5 DATE ()3S--'-33? . TELEPHONE # / ADDRESS Qu Jt ^_'--";"'"-'-""~~"~'~--~-" , ADDRESS </7/ S, PLllMBINC PE1IHIT APPLICATION DAD 2/ /-6'/:7 .1 PEBHIT# PL1JHB~ / /!J ~. ~ REPAIR INTERIOR. V30 ~ Y:.--S- J'o CNNEI. NATtlU OF WOlUC NEtl ""Y # SAN SEW I ",An:R y O.7~ Bathtub . . Sump PU1lID Snl Lavatorv Ej ector Toilet: Water Softener !NSPECTION DA~ INSP!:CTIOR DAn: !tit. Sink Drinkin I? Fountain Sink(other) TT,..;,.,,,,1 r g / ;;J-of~ ;3 Waterheater Slop Sink Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe - Dishwash~r Catch Basin ** Violation notes on the reverse sidel