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HomeMy WebLinkAbout0043573-Plumbing (interior)~/ Z' No ~ 43573 n CITY OF OSHKOSH `' PERMIT -APPLICATION AND RECORD TYPE: - -BLDG ^ .HTG-^. ELEC-^_ PLBG ~J SIGN ^ -ZONING- - _ - _ - FLOOD PLAIN- - _ - _ -HEIGHT- - - _ - ADDRESS OWNER PLAN NO. DESIGNER USE/NATURF C)F WORK ~ e ~ ~ r BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTO/R -- ~ . ~ --`2~'~-~`-' BT ~ WH _ Disp - W~ _ Lav _ Sh _ DW _ DF WC ~ FDr _ SP ._ Ur - Sink ~ LTub Eject - SS Other ~ ' ~ ~ ~ -. ll~-;(1~-- - CBasin -San. Sewer_ -Storm Sewer -Water. FEES: Valuation $ r 3 ~~ • c-^+ c7 Permit Fee Paid $ r (° ' C~ O Park Dedication $ ISSUED BY ~~~~ Date ~ ~ `f ~ ~ Final/O P _ . . In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. S1GNA' AGENT/OWNER ADDRESS 1.~~~ ~~L~~-~'~c~ ~ l ~.31 ~-a~~~s- DATE ~"`/, ~~// TELEPHONE M owc~a -.= t~zusE os ~wa~ ~~~ mop ~~s~. ~~~ ~~ ~ f ~ ~ ~s _ ~~~ ~^~ ~ ~ ~ ~ GL~ .- ~~r~a f / ~ ( / ~ ~ ~ _~ ( W„ aterheater ~ ~1~. / y.. f.._ Floor Drain r Laundry Tu Dis osal Dishwasher Ejector Water Softer Drinkin Q Fot TTri na 1 Slop Sink Grease Trav Local Waste Site Drain Laundry Sta. Catch Basin ~'~ ** V].OLSt1Qw ^~r~e on the reverse s'd