HomeMy WebLinkAbout0041958-Plumbing (interior)/ ~
/~ CITY OF OSHKOSH N~ X1958
`' PERMIT -APPLICATION AND RECORD
TYPE: BLDG ^ HTG ^ ELEC ^ PLBG~ SIGN ^ ZONING FLOOD PLAtN HEIGHT
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ADDRESS ~l / / ~~ PLAN NO.
OWNER
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
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
Amps
BT ~ WH _ Disp _ WSoft
~LaV ~Sh ~DW -DF
WC ~ FDr ~ SP _ Ur
Sink ~-le~vb-~ ~ _ Eject - SS
Other
- CBasin
-San. Sewer_
-Storm Sewer
Water
~ ~~ ~
(i ~
FEES: Valuation $ ~b ~ e ^ Q ~ Permit Fee Paid $ ~~ • ~ d Park Dedication $
ISSUED BY Date ~~ r ~ ~~~ Final/O.P.
In the pertormance of this work I agree to pertorm all ork pursuant to rules governing the described construction.
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SIGNATURE
ADDRESS
AGENT/OWNER
l~
~ ~-~ ~j
DATE
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TELEPHONE N
.~-, ' PL1A~S~ PEBI~ffT ApP.LICATION
aDDxESS j 3 g ~ '- DATE ~' •,s-- ~'~` PERrIIT# `~/~'.s~8"
owc~R p~zs .S'~-
NATflRE of woes /I~.~' ~'
xEPAIR ~RioR
~ #
WATER ~ Bathtub / Su Pu
3 Lavato i' E'ector
3 Toilet Water Softener
ON DATE INSPECTION DATE Rit. Sink Drinkin Fountain
Sink other
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,~~--/~~- /(J,~ ~~;~~ l ~ f..1-I ~~" I W to heater Slo Sink
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/ e se Tra
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~1 ` ~ ~
/ ~)~ ` / Floor Drain ~
Laundry Tu
Dis osal
/~ Local Waste
Site Drain
Laundr Stand i e
1 ~ ~/ f 7 ~, i~~~ n a y / Dishwasher Catch Basin
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