HomeMy WebLinkAbout0019938-Plumbing (laterals)~ CITY OF OSHKOSH N° 19938
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT
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OWNER ~~ r t /Co ¢ o,.., /.~ r-
DESIGNER
USE/NATURE OF WORK ~~ /~ ~ 7~ r y S' e.cy ~ /L[~ 3 E /' / S for M ~, e,..,~s
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BUILDING CONTRACTOR
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JILL aq. rt
Foundation
~ rsovms ~ stones
~~ Class of Const.
rieigm .
Occupancy Permit
HEATING CONTRACTOR
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Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S
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ELECTRIC CONTRACTOR i
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Electric Serv. New ^ Change ^ Temp ^ ~ Type
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Fixtures Switches Receptacles
Volts Amps
Circuits
PLUMBING CONTRACTOR ~~
BT WH
- Lav Sh
WC _ FDr
-Sink LTub
Other
Disp
DW
SP
-Eject
WSoft CBasin
DF ~ San. Sewer y" Py ~
Ur ~ Storm Sewer y" ~~''~
SS __L_ Water / ' ~a ,tzr.~ ter
FEES: Valuation $ ~66o Permit Fee Paid $ -~0- /"~ Park Dedication $
ISSUED BY ~`~ ~~~~=~~ ~ Date ~~ ~ 3 -mod Final/O.P. f 1' 8-- `lO
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~ ~ ~~ ~ ~~ S~ s"~ a~ f' ~- ~3" 9~
AGENT/OWNER DATE
ADDRESS
TELEPHONE #
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PLUMBING PERMIT APPLICATION
ADDRESS ~_~~G
DATE ~ ~ ` ~ PERMIT ~~ ~/~-3~
PLUMBER
OWNS R
NATURE OF WORK
NFtT RFT.AV RFPATR U TN'f'TRT(1R
SAN SEW ''~ / C 4~ ~~
WATER ~ '' athtub Catch Basin
STORM SEW ^-' avator 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