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HomeMy WebLinkAbout0029927-Plumbing (interior)/~ CITY OF OSHKOSH N°- 29927 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ! ~~ l~l r/ C.~a~~i! ~r~ PLAN NO. ~~ T DESIGNER USE/NATURE OF WORK 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 _ WH Disp WSoft CBasin - Lav Sh DW DF -San. Sewer - WC ~ FDr _ SP Ur -Storm Sewer -Sink LTub Eject SS _ Water Other ~ ~~ sr // Q-?j FEES: Valuation $ Permit Fee Paid $ ll~ Park Dedication $ ISSUED BY Date Final/O.P. ~n - ~C9` ` 7 In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE ADDRESS TELEPHONE N STATE OF WISCONSIN ) SS WINNEBAGO COUNTY ) • A dress being first duly sworn on oath deposes and says that he is not a licensed plumber, and that he has applied for a plumbing permit to the Plumbing Inspector of the City of Oshkosh, to do plumbing work in a home owned and occupied by him, or a home that is being constructed that is owned by him, and which will be occupied by him as his home when completed. That he is not building said home for the purpose of sale. This affidavit is made for the purpose of complying with the provisions of the plumbing code of the City of Oshkosh and the State of Wisconsin, which provides that all. plumbing work must be done by a licensed plumber except that the plumbing work may be done by one who owns and occupies his own home providing the installation complies with the plumbing code~of the City of Oshkosh and the State of Wisconsin. This affiant understands that the Plumbing work authorized by the permit applied for, must be done only. by this affiant and that ha cannot employ others who are not licensed plumbers to assist with the work_ Dated this ~ day of Subscribed this a ~ and sworn_to before me day 19~_. Notary~ublic, '~Tinnebago ounty, Wisconsin My Commission Expiress PLIII~IDII~G P88~T APPLICATION AnDasss 7 0~ ' Hass 7 ~ ~- y' = PE~T# ~-~ 9e2 7 owNSR PLD~L'8 ~~ NaTflRE og ~-~. S',~ ~ - L " ~- ~ . tvRrJ Rtrt.ev ~rosTO r~retrntt -.. ~ ~ MATER Bathtub Sum Pu Lavato E'ector Toilet Water Softener ON DATE INSPECTION DAB Ri.t. Siak Drinkin Fountain Siak other ®~ 7128 ~ ~ ~O W to he ter Slo Sink (( ease Tra C L Floor Drain Local Waste ~,/ ~ g/~3 Laundry Tu Site Drain ~l Dis osal Laundr Stand i e ~~ r ~ ~ /R,~ Dishwasher Catch Basin ** Vialaticn notes on ttie reverie side