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HomeMy WebLinkAbout0025289-Plumbing (laterals)CITY OF OSHKOSH N? 25289 PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS °?d® PLAN NO. OWNER G DESIGNER USE/NATURE OF WORK 4~- BUILDING COP Size Foundation # Rooms # Stories Class of Const. Height . Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Fixtures Switches Receptacles PLUMBING CONTRACTOR BT WH Disp WSoft Lav Sh DW DF WC FDr SP _ Ur -Sink LTub Eject SS Other Amps Circuits CBasin 'l ~~ r San. Sewer T ~ ~~'- Storm Sewer Water ~ r r ~ `~- FEES: Valuation $ -fig O O ~ z' d Permit Fee Paid $ °2 ©' ~ ~ Park Dedic ti n $ a o ISSUED BY ~ Date ~ mil/ " ~~ Final/O ~- /~~ F% P . . In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE UG ~ d U 6 6 ~ s--- 9 - ~ ~ ~- ~ AGENT/OWNER J DATE ADDRESS%_aY , 3 J~ ~J- ¢.EE. ~ y r~ / I `~_ G~SE•~ ylS~ 7S 7~`~1'6,C / TELEPHONE # Sq. Ft PLUMBING PERMIT APPLICATION ADDRESS °~ ~ ~ OWNER NATURE OF WORK a ~-.~ ~~ SAN SEW OfJC ~ ~~ WATER ~a ~ Bathtub batch Basin Lavato Grease Trap Toilet Sum Pu INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink other) Site Drain S/ ~ 7- ~ ~' Shower Laundry S tand Pipe Floor Drain Laund Tra / ~-~ ~~ Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Effector ' a s Future outlets ** V' lation note on the reverse side