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HomeMy WebLinkAbout27583-Plumbing (connect city water)_CITY OF OSHKOSH N° 27583 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT ---------------------------------------------------------- ADDRESS `=' ~ 7 ~ PLAN NO. OWNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height . Foundation 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 Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT /r WH Lav _ Sh - WC - FDr -Sink _ LTub Other Disp - DW - SP -Eject WSoft DF Ur SS .- CBasin -San. Sewer_ -Storm Sewer -Water FEES: Valuation $ ~©~~ ~ ~ a Permit Fee Paid $ ~ ~ ' 6 c3 Park Dedication $ ISSUED BY_ ~ Date 3 "'~~' ~ ~- Final/O.P. ~~5 - a q - ~~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 3 ~~~ ~TE ADDRESS ~ ~~-~74 TELEPH NE # ~'~/ PLUMING PERMIT APPLICATION ADDRESS - ~ ~7 _ ~[l~~ ~~ DATE ~~~d ~ - ~i/ PERMIT# ~ 7s`Ff.~ OWNER n ~~~ ~P.,n P./~"' PLDMBER lJ7u~Le~ f-~i 1~~a NATURE OF WORK ~..-~ ~,,. ~„- ~.., p ~ ~~ ~~ ~~~.~ -~ NET+I RELAY REPAIR INTERIOR SAN SEW ~ -- ~ tch Basin ease Trao - ---- --- .~~++~.. unir, ait. aiax Local Waste C ~~ jl 1C~ - ~- Sink other Site Drain ~ Shower Laundrq Stand Pipe oor Drain Laund Tr S °'" ~`~'-~-~_.c.,~'¢'~ Dis osal Wat. Softner l Dishwasher D. Fountain /~ S-~^~'--~ ~J ,_ ~~ Water Heater Effector - Future outlets a ~, o-- ~"~` V~ a revers side