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HomeMy WebLinkAbout0032682-Plumbing (bathroom) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD >LfLO 32682 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ ~ _ ~~B~ Y! ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ OWNER /8.1-/ Ik~ LJ2-0&!+ DESIGNER ~ USE/NATURE OF WORK ~~ ~ ~ ----y~:...:::;;, PLAN NO. ADDRESS BUILDING CONTRACTOR. Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S t; .-" ELECTRIC CONTRACTOR 1 Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT ~WH iLav _Sh ~WC ~FDr _Sink ~LTub (}- a~ _Disp _ WSoft _ CBasin _DW _DF _ San. Sewer _SP _Ur _ Storm Sewer _ Eject _SS _ Water ~ Other FEES: Valuation $ ~..,)f6CJ. 0-0 Permit Fee Paid $ -/4tZ. .2-0,0 cv/ ;;2-/~ -/'.5 Park Dedication $ Final/O.P. ISSUED BY Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ Gc~",_" .2-\ ).., Of 3 DATE ADDRESS TELEPHONE # E'LlJMBING nDIT APPLICATION AD~S It;>/ ~ DAm _ ~~~ PDHITf croNER L~~. .~ ~:~~~ NAnmEOFWOlUC _ ~~~ ~~. ~ NEt; RELAY REPAIR INTERIOR 3~6<;S;J- .~AN SZW # I wAnE. Bachcub Sumo Pumn ~.,.n'RM ~~ I Lavato" Ej ector .J;. I Toilet Water Softener !NSPEcnON DAD tNsnC'nOR DA'l'E Kit. Sink Drinkin I'f Fountain 0/7 Sink(ocher) n,.-1n",l v\b I W"'terheater Slop Sink Grease Tran K'j: 1../g I Floor Drain Local Waste 7 Laundry Tub Site Drain Disoosal Laundry Standoioe Dishwasher Catch Basin I r:: ~ -f/;;- -L G <D 1 pYI. ..... """ "C> "- _~~i~.f~~e .idel ~~