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HomeMy WebLinkAbout0043642-Plumbing (interior)~ ji-G> N~ -43642 n CITY OF OSHKOSH ` PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG SIGN ^ ZONING FLOOD PLAIN HEIGHT L~ ~~ '- ADDRESS ~`~ 7~ ~'~ PLAN NO. OWNER DESIGN USE/NATURE OF WORK ~~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR -S BT =~WH _ Disp Lav rr ~Sh ~ DW 3 WC ~ FDr f SP Sink ~~ ~CG'" _ Eject Other P ~ ~ ~ .S~ FEES: Valuation $ `~ ~ d ~ ~ ©~ Permit Fee Paid $ '~~ ' d Q Park Dedication $ ISSUED BY ~~~~ Date f ~ 6 ~s_ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER ADDRESS - WSoft _ DF - Ur SS - CBasin -San. Sewer_ -Storm Sewer - Water ~_ ^~~ DATE TELE~E / owt~ER ~~ NATURE of Way _ ._. ~i~ ~ ~ ~oN ~o/3/s ~ ~E~T~ ~~~ ~-~ p -~°~ ~/ ~~ ww~ ws a~ w rs T*t~1'~TlTAA WATER Bathtub t Su Pu Lavsto ~ Ejector Toilet Water Softener p pIQ DATE INSPECI"IOIq DAB / Rit. Sink { Drinkin Fountain S iak(o ther ~ ( 3~.~-a ~ ~o W to he ter Slo Sink ?~Q ease Tra R % Floor Drain Local Waste •:, ~ ~ ~ ~~ Laundry Tu Site Drain , ` Dis osal / Laundr Stand i e ~`~ i .~ ~ ~ `" oZ ~ % Dishwasher Catch Basin ( ~/'_~..~'S' (,~ ~ (.? s ** notes on the reverse side ,~ ,~ ~r V~ ~ ~ ~ { • r ~ i f ~A~ ~G r~s ~D ~r PPER ~' ix f~.,~~,~ ~,~~' /j~,l~ , ~ C a