HomeMy WebLinkAbout0019767-Plumbing
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CITY OF OSHKOSH N~
PERMIT - APPLICATION AND RECORD
19767
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG..at' SIGN 0 ZONING FLOOD PLAIN HEIGHT
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ADDRESS ~2-3- ~ PLAN NO.
OWNER tU~ 9 ~ ~
DESIGNER
USE/NATURE OF WORK
A.J .J2..-c_o S F
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
fJ
HEATING CONTRACTOR
Heat 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
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PLUMBING CONTRACTOR ~ P ~
"'Z--BT 1 WH _ Disp _ WSoft
hav _Sh _DW _DF
'--WC ~ FDr --L SP _ Ur
i Sink i L Tub _ Eject _ SS
Other /- fleW ~ ~
_ CBasin
_ San. Sewer
_ Storm Sewer
_ Water
FEES: Valuation $ ..:s~ DO .0 0 Permit Fee Paid $
ISSUED BY (!..~ ~ Date
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J?g"O ~ /
g--"3 --7;>
Park Dedication $
Final/O.P. t. '1~,?J
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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f?~ 3 ~ 1rf
DATE
ADORES
TELEPHONE #
/;2;2-3~~ ?- j -Z~ _ PLUlIBING PEBMIT APPLICATION
ADDRESS .!-~~ :;r ~ATE ~ - 3 -~dr
OI/NER t<l _ ~ ~ PLUlIBER" ~
NAT1JRE OF WORK - . 0 ;UJ2-<P Sf'" tJ.
NEW RELAY REPAIR INTERIOR
PERMIT1J: /?7 6 7
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fA
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SAN SEW ifJ: if/:
WATER --z.. Bathtub It Catch Basin
STORM SEW -z...-. Lavatorv II Grease Trap
-z... Toilet 1/ I Sump Pump 7
INSPECTION DATE INSPECTION DATE I Kit. Sink 1 local Waste
G (~/wjo ~fi. 1/1f7lj Sink(other) Site Drain
Shower I Laundry Stand pipe III
-, Floor Drain / / Laundry Tray -,
( I. 1)10/91 Disposal Wat. Softner
Dishwasher D. Fountain
F fo - 0-'1/ 7 Water Heater I Ejector
nrinals Future outlets
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t** Violation notes on the reverse sid.;} I ~ 101....... <:i. -t;; ~