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HomeMy WebLinkAbout0026180-Plumbing (dishwasher)_CITY OF OSHKOSH N° 26180 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG ~ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~ ~ ~O /7 l~c.~C _ PLAN NO. OWNER .~ C~ BUILDING CONTRACTOR Size Sq. Ft. Foundation # Stories Height . Class of Const. Occupancy Permit # Rooms 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 d''~- - BT - WH - Disp - Lav - Sh / DW - WC - FDr SP -Sink - LTub -Eject Other Volts Amps Circuits WSoft - CBasin "`~ - DF -San. Sewer - Ur Storm Sewer - SS -Water FEES: Valuation $ G ~ -~ O Permit Fee Paid $ !-0 - ~ ~ 'Park Dedication $ ISSUED BY_ fib Date ~~ ~ ~ - 9/ Final/O.P. a - 5~ " 9 I In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE ~1 ~~ ~'~ ~ /~ ~ ~A/GENT/OWNER ADDRESS! ~__~ ~'v uy~ //~ ~r~1 ~~ a~ ~/ DATE TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS % ~ ~~ ~~~~ ~ DATE ~ `" ~ ~ ~ PERMIT~k ~ ~ ~ ~ ~ OWNER ~lL~.,f ~~~~a~17 PLUMBER ~i~1~/~~~f.~"/tJ~h '7- NATURE ~ OF WORK r /~~G~ ,~ NEW RELAY REPAIR INTERIOR SAN SEW ~~ ~~ WATER Bathtub Catch Basin SEW Lavato Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste / Sink other) Site Drain ~ / S/ 9/ Shower Laundry Stand Pipe Floor Drain Laundr Tra Dis osal Wat. Softner ishwasher D. Fountain Water Heater Ejector ,.- /,~ ~ rivals Future outlets ~~~ ~~~ ** Violation notes on the reverse side