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HomeMy WebLinkAbout0043066-Plumbing (correct violations) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Y/2) N! - 43066 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ E? _ ~~E~ _ E? _ ~~B~P~ ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ! 'fC.r:J. <7 ./;t.~-rV f~1J (J 6~%~~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heaf 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 _BT _WH ()~ _Lav --L wc _Sh _FDr _ L Tub _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _ Water c:-- _Ur _Sink Other _ Eject __SS FEES: Valuation $ ..:5-6 6 - c () ~ ISSUED BY Permit Fee Paid $ Date 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 ~A p~ . GENT/OWNER DATE ADDRESS TELEPHONE # ~. _~11C n!lllh APPUCAnOH = . ~ .' llA'%l! 1/ -?, 9 -;::> V / PEllHI'I# ~ - pI.IIIlBU . D~~ y"30b h A,oDUSS / Y c2 <7 OWNER. NA'roU OJ' ~01UC , .j NEt~ SPECTION DAn: No IJ~ It): <I" ~\ I}r!?- DAtE INURIOI. # BachCub LavaCO Toilec Kic. Sink SiDk(ot:her VI terheater - RELAY IEPAl1 # SAN SEW wAtER msnC'rIOB /~// /9/ I)C-~ . Pk ~~ /~) -( d--.. )1//0 ! . --/J--- 3) M t~ I( c:; ~~-<< I ~ Violat:ion noces on the -reve-rse side!