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HomeMy WebLinkAbout0029110-Plumbing (interior) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 29110 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN ~ _ ~O_N.iG FLOOD PLAIN HEIGHT ::N::~.... i?~~~~i33fJ ............. .~~N ~O DESIGNER USE/NATURE OF WORK N~ Ce.~ , ~P7 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S -i ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT -!-WH -LLav _Sh --.L WC ---L FDr _Sink 1LTub )~ f!7 _Disp _DW _SP _ WSoft --L DF _Ur _ CBasin _San. Sewer _ Storm Sewer _ Water fAiL _ Eject _SS Other FEES: Valuation $ ISSUED BY .} l?O 0 , C 0 012 r Permit Fee Paid $ Date / ;:1-- '/. f) 0 V/ &>//6/71- / / Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE M?-~ tr~~/'" f/ A NT/OWNER ADDRESS /YI f/S/o </ / (Pht1h2.-- " , DATE TELEPHONE # / ADDBESS OWNER NAnmE: PLmtBINp P!mtIT APPLICATION Os<> -* S~ f~-I. _ DAD ~/F;:p' ~ M ~{J~ ~ ~_(~ IJE 1IC111: If ~ ~ .--;- -.' ~ . NEil REI.AY REPAIR mr!RIOR #" 2.eOO ~ ,) / //0 SAN sml # I' I 'WAtER Batheub Sumo Punm SN I Lavat:orv Ejector ~ I Toilet Water Softener !NSPECTION DAn: INSPECTION DAtE Kit. Sink I Drinkin Q' Fountain ~ ~/J2-- "$ SiDk(ocher) TT....;_~' I Waterheater Slop Sink R~ ~t1{)~i~ G,.ease Trao I Floor Drain .Loca1 Waste I Laundry Tub Site Drain Disposal Laundrv Standpipe Dishwasher Catch Basin ** Viola~ion not:es on the revene sideJ,