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HomeMy WebLinkAbout0045360-Plumbing (laterals)CITY OF OSHKOSH PERMIT -APPLICATION AND RECORD ~~ N° 45360 TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAIN HEIGHT ADDRESS OWNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms Foundation # Stories Height 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 Fixtures Switches Receptacles PLUMBING CONTRACTOR ~C~ U _ BT _ WH _ Disp _Lav _Sh _pW - WC _ FDr _ Sp Sink _ LTub _ Eject Other r - WSoft - CBasin c~ - DF ~ San. Sewer T - Ur _ Storm Sewer/ - SS ~ Water ( ''-- FEES: Valuation $ ~~© ^~~ Permit Fee Paid $ ''2~ ' ~ a ' Park Dedication $ ISSUED BY ~1~ Date ~ ^ ~ ~ - ~~ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ADDRESS / ~ / ~ (~ A ~K tit/~4 D !O1 f Volts Amps Circuits ~~: ATE %Z`- O~Z S l TELEPHONE N Job Address 775 KIRKWOOD DR Owner DONALD WACHTUEITL °'egory 401 -Residential-Exterior (laterals) _..ntub Shower Whirlpool Floor Drain Lavatory Lndry Tray Toilet Lndry Stndp Res. Sink Disposal Bar Sink Dishwasher Water Heater Sump Pump Use/Nature of Work Plumbing .Permit Work Card Permit Number eeeeeeo ids' 3 6a Create Date 05/03/95 Contractor FOX VALLEY EXCAVATING Plan Value Ejector/Grind Dip Well F Prep Sink Grease Trap Water Softner Drink Ftn Serv Sink Receptor Local Waste Wait. St. Shamp Sink Other Clothes Wshr Ice Chest FIrIWst Sink Bidet Exam Sink Catch Basin Beer Tap/Soda Sculry Slnk Wash Ftn Dent. Oper. Hand Slnk Urinal NSF OUTSIDE PLUMBING DAN BINDER CONSTRUCTION ize a ena ype onn. ype Sanitary Sewer 4 Plastic Lateral 1 New Storm Sewer ~.arer Service 1 Copper Lateral 1 New tte rype Inspector pprove S~w r~.~ ss~ $0.00 '~~ U a