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HomeMy WebLinkAbout0043735-Plumbing (laterals)~~ ~- CITY OF OSHKOSH PERMIT -APPLICATION AND RECORD N° -43735 TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~] SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRE: OWNER DESIGNER USE/NATURE OF WORK S~ `,~/ - ~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # 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 Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR °-~ ~°~'- BT W _ H _ Disp _ WSoft _ CBasin Lav Sh ~L ~ ~ ~ .- - - DW _ DF San. Sewer r - WC - FDr _ SP _ Ur -Storm Sewer -Sink _ x LTub _ Eject ~ SS ...1_ Water ~ ~~-~-- Other FEES: Valuation $ `~ f/ ~ ©~ Permit Fee Paid $ ~~ "~ ~ Park Dedication $ ISSUED BY ~~C_s~~~ Date ~ ~ J~ Final/O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~' ~~ J!' cc~~ /~ /~ J AGENT/ WNER ~+ , - J /~ DATE ADDRESS-[~5 I.YG'AGf4~( ~~AY (~'~B~n ~~l Gf/ir J~~~~~ !~~- ~/.~~ TELEPHONE N aWNSB .~/~: NATURE OF WORM ~,' c PLD~IDIN6 pEBI~IIT ApPLZC.'-TioPi --- ~ ~ ~,= PT.IIl~IDEE '-~~' ~",// ~ ~ ~2/~a ~ ~~1. pE~T~ y 3~~5'~ # # Bstlitub 1,avato Su Pu E'ector Toilet Water Softener Rit. Sin1c Drinkin Fountain $iak(other to he ter Slo Sink e se Tra Floor Drain Local Waste Laundry Tu Site Drain nd i e St Dis osal a Laundr Dishwasher Catch Basin ** Violation notes on the reverse side