HomeMy WebLinkAbout0021686-Plumbing (interior)i
_CITY OF OSHKOSH N° 21686
PERMIT APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~, SIGN ^ ZONING FLOOD PLAIN HEIGHT
ADDRESS ~ ~~- .~5//S~i / /v~~ ,~ PLAN NO.
DESIGNER
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USE/NATURE OF WORK ~ /
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BUILDING CONTRACTOR
Size Sq. Ft. # R
Foundation I oms # Stories Height
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
PLUMBING CONTRACTOR /rte ld ~b ~ k
r y°°~ BT ~ WH ~ Disp WSoft CBasin
5~ Lav ~ Sh ~ DW DF -San. Sewer
WC ~ FDr ~ SP Ur -Storm Sewer
Sink ~ LTub Eject SS Water
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Other ~- ~ ~e~q~ ~- ~-[.~
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FEES: Valuation $ ~
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Permit Fee P
aid $ ~
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Park Dedication $
ISSUED BY Date ll ~~' ~Q Final/O.P. ~
In the performance of this work I agree to perform all
SIGNATURE~iv~ U: r+Zd'Or~S~4~ /j'l~~
ADDRESS
pursuant to rules governing the described construction.
DATE
TELEPHONE #
I
PLUMBING PERMIT APPLICATION
DATE ~ ^ ~ o ' 9r~ PE RMI T~k _~,~-.~9~
PLUMBER ~~' ~ ~ _
NATURE OF WORK .~.~~
ADDRESS `~ ~~~
OWNER P "
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NEW RELAY REPAIR INTERIOR
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SAN SEW ~k ~k
WATER / Bathtub / Catch Basin
RM S S' Lavato Grease Trap
Toilet j / Sum Pum
INSPECTION DATE INSPECTION DATE Kit. Sink ~ Local Waste
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~:J~;/5
t
U Sink(other) / Site Drain
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,
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// /~ / Shower / Laundry Stan Pipe
~~' ~~ J1 ~ ~ i~j~~o i Floor Drain Laundr Tra
Dis osal / Wat. Softner
- O ~ ~ ~// j/~~ Dishwasher D. Fountain
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C3 '1 ~ / Water Heater Ejector
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`/ 'pals Future outlets