HomeMy WebLinkAbout0034299-Plumbing (additional fixture)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
YYo
34299
TYPE: BLDG D HTG D ELEC D PLBG,$' SIGN D ZONING FLOOD PLAIN HEIGHT
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OWNER ~ C( s /!
DESIGNER ~-;T7/
USE/NATURE OF WORK F ~ ~~ .~f~rF 3/-.7'? 2-
BUILDING CONTRACTOR
Size
Foundation
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Class of Const.
'I'
REA TING CONTRACTOR
I
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
_BT LWH
:r. ^ R~
-- ~ '(j
_ Disp _ WSoft
_ Eject
_SS
_ CBasin
_San. Sewer
_ Storm Sewer
_ Water
~
_Sink
Other
_FDr
_LTub
_DW
_SP
_DF
_Lav
_Sh
_WC
_Ur
FEES: Valuation $
ISSUED BY
.:2-.:::;- {) , 0 C)
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Permit Fee Paid $
Date
/0", va
~/>s-'/9J
I' /
Park Dedication $
Final/O.P. 'I - ')(, - '13
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATU~ !fi(~~P5/0<-(
ADDRESS
(P/l5/93
DATE
TELEPHONE # .
.\.DDIESS
arnEIl
PE1U<<'r APPLICA'rIO.N
IW% -;L 7 - 7";3
Yf/D
~Y:-.2-9:7
~nm%
SAN SEW # I
iJA'IER Badlcub Sumo Purno
~~ Lavat:OrT Ejector
l' Toilet: Water Softener
!NSPE en ON DAn: msncncm DA'l'Z Xit:. Sink Drinkin 11 Fountain
~ #2~O 't SiDk(odler) n.,.i...."l
F 'f-:rG--9Y- I W::lterheater Slop Sink
Grease Tra1'l
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundrv Standoioe
Dishwasher Catch Basin
NEt.
REI.AY
REPAIR
ntT!:llIoa
** Violat:ion no!:.!! on the novene side{