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HomeMy WebLinkAbout0021545-Plumbing (added fixture) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 21545 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER ;2779 ~ ~ <.n- S' uz-2~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK r ~~ ~ ~ '6; ~ Ff /fl7g';)- 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 . I If~ _BT ---'- WH _Disp _DW _SP _ WSoft _DF _ CBasin wJc- _Lav _Sh ~FDr _ San. Sewer _WC _Ur _ Storm Sewer _ Water _Sink Other _LTub _ Eject _SS FEES: Valuation $ ,.00', b b C.J k-~ (j Permit Fee Paid $ Date I /0, c dV~ /;/ / Y;/?i:) Park Dedication $ Final/O.P. ISSUED BY I agree to perform all work pursuant to niles governing the described construction. SIGNATURE E/~ AGENT/OWNER //--/~-~ DATE ADDRESS TELEPHONE # ADDRESS JWNER NATURE OF PLUMBING PERM!T APPLICATION ;??,?;; ~ nATE 9- '/ -;10 .1JERMIT # Rm-- ~. VL PLUMBER. If &d WORK ~~~~_ ~ ~ f~# /:?7K,.2 .;z r S,cS- SAN SEW I iff ifF WATER , !Bathtub Catch Basin STORM SEW , Lavatory Grease Trap To ilet Sump P1.l.mp INSPECTION DATE INSPECTION DATE Ki t Sink Local Waste Sink(other) Site Drain Shower Laundry Stand p~pe I Floor Drain Laundry Tray Disposal Wat. Softner $/0.6& Dishwasher D. Founta~n Wa,ter Rea ter Ejector Urinals Future outlets NEW RELAY REPAIR INTERIOR 1** Violation notes on reverse sidel