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HomeMy WebLinkAbout0019981-Plumbing (bath/kitchen) .~<~ " ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 19981 TYPE: BLDG D HTG D ELEC D PLBG.r:V SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ '- - - - - - - - ~'- - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const. Height Occupancy Permit Foundation HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR -.LBT _WH iLav _Sh --'-- WC _ FDr { Sink -'-L~ Other / Jierc.4 _Disp LDW _ WSoft _DF _ CBasin _ San. Sewer _SP _Ur, _ Storm Sewer _ Eject _SS _ Water ~ / FEES: Valuation $ J1-D 0 O. 0 c. ISSUED BY c4:j r'G'.J2~ Permit Fee Paid $ Date j' cL ./ fi,.OO' 8' ,.. ./,s- - ;7 0 Park Dedication $ Final/O.P. I a -;; . q 1 I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ AGENT/OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS OWNER NATURE OF /17 ~ r: w{:o~i5fL J DATE o-7~ 1'0 ~ PLUMBER J(O C "- ~kLLA ...... PERMIT ifF 19~~ ~ (I F SAN SEW ifF ifF WATER I Bathtub / Catch Basin STORM SEW Lava torv I Grease Trap -, Toile't I Sump P1.1mp INSPECTION DATE INSPECTION DATE j Kit Sink I Local Waste Dr( g/ 9j 90 Sink(other) Site Drain Shower I Laundry Stand p1P -1/ Floor Drain Laundry Tray I) -) - Disposal Wat. Softner 7 Dishwasher I D. Founta1n Wa.ter Heater Ejector Urinals Future outlets NEW RELAY REPAIR INTERIOR l~* Violation notes on reverse side] ~" L"L-<-~~ ~~:;( -.1r;;a~(~-:J-// ' i I