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HomeMy WebLinkAbout0021255-Plumbing (code corrections)_CITY OF OSHKOSH N° 21255 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS PLAN NO ~~ OWNER ~ O .~-~ ~~ ~,~\~c?~ DESIGNER USE/NATURE OF WORK ~c~.e. ~©'C C G ~ .{1~~5 BUILDING CONTRACTOR Size Foundation Height . Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles # Stories Class of Const. - Heat Loss Volts Amps Circuits PLUMBING CONTRACTOR ~ ~~ .. ~~~. - ~ BT _ WH _ Disp WSoft -Lav Sh DW -DF WC _ FDr _ SP Ur -Sink LTub -Eject SS Other - CBasin -San. Sewer_ -Storm Sewer Water FEES: Valuation $ \ CX~. ~° Permit Fee Paid $ ~~ ` ~ d Park Dedication $ ISSUED BY~ Q Date cy~aZ Geld Final/O.P. In the performance of this work I agree to perform all SIGNATURE ADDRESS Sq. Ft # Rooms BTU'S AGENT/OWNER to rules governing the described construction. ~d DA TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS ~ O 3 ~. DATE ~-~~° 9v PERMIT ~~ Z, ~ZS~ OWNER ~ ~~"''' ~ ,• - .PLUMBER ~ ' `. ~ -ri NATURE OF WORK U ~~ NF:w RELAY REPAIR INTERIOR SAN SEW - - --- ~~ ~~ WATER athtub Catch Basin STORM SEW avato Grease Tra Toilet Sump Pum INSPECTION DATE INSPECTION DATE Kit Sink Local Waste ' Sink other) Site Drain Shower Laundry Stan pipe Floor Drain Laundry Tray Disposal Wat. So tner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets ** Violation notes on reverse side