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HomeMy WebLinkAbout0012581-Plumbing (bath & kitchen) ,*~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 12581 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG g SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - -- - - - DESIGNER /-2)7 4~~~/ ;Slc&~~ ~ r~ ~<Jc ~(;{,~o<- PLAN NO. ADDRESS OWNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height , Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 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 ~~4 JBT _WH _Disp ---L Lav _ Sh _ OW -Lwc _FOr _SP --.L Sink _ L Tub _ Eject Other _ WSoft _OF _ CBasin _ San. Sewer _Ur _ Storm Sewer _SS _ Water FEES: Valua"on $ I~~'" / ISSUED BY ~~ ?CJ , . /6- C13. v/ Permit Fee Paid $ Date J ~ d-.?- -ff Park Dedication $ Final/O.P. 3./ R / rf'7 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .,/' ~ Olh-~~ 3-- :L 2, ~ 1 DATE ADDRESS TELEPHONE # ADDRESS OWNER NAIURE IA PLUMBING PERMIT APPLICATION YI. ,~DATE I - 6' ;-? ,~PLUMBER ~~ PERMITi~ /.:L<7F1 . OF WORK NEl~ RELAY REPAIR INTERIOR If',!> SAN SEW i~ I WATER I Bath tub Catch Basin SEW I Lavaton Grease Trap Toilet S utn'O Pum'O INSPE en ON DATE INSPE CT! ON DATE I Kit. Sink Lac al, Waste Sink(ott\er) Site Drain /I ~. //('/~7 Shower Laundry Stand Pipe Floor Dr nn Laund:r:v Trav ~ r g/~!f1 Dis'Oosal Wat. Softner Dishwasher D. Fountain Water He at er Ejector n,..inal s . Future outlets 1** Violation notes on the reverse side!