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HomeMy WebLinkAbout0010184-Plumbing (correct violations)n CITY OF OSHKOSH Na 10184 ` PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG JUX, SIGN ❑ ZONING FLOOD PLAIN HEIGHT --------------------------------------------------------- ADDRESS �j p �L_ PLAN NO. OWNER DESIGNER USE /NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft Foundation !/v 1-C 114 -rk/ HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System # Rooms # Stories Height _ Class of Const. Occupancy Permit ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Fixtures Switches Receptacles PLUMBING CONTRACTOR '77jj, _ - --LBT WH —Disp Lav Sh DW WC FDr —SP Sink LTub — Eject Other Heat Loss Volts Amps Circuits BTU'S WSoft CBasin DF San. Sewer Ur — Storm Sewer SS — Water FEES: Valuation $ Permit Fee Paid $ '� Park Dedication $ ISSUED BY Date Final /O.P. I In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Dq E n wl !1 \AIwICO ADDRESS TELEPHONE # 1� L ING PERMIT ADDRESS (, ti-! 4CYI'14 - r ., OWNER i//�r I'Z s V NATURE OF WORK APPLICATIO DATE Z z PERMIT# PLUMBER NFW RELAY REPAIR INTERIOR SAN SEW # # WATER Bathtub Catch Basin -STORM SEW Lavatory Grease Trap INSPECTION DATE INSPECTION DATE Toilet Sum Pump Kit. Sink Local Waste 0� W Sink(other) Site Drain Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Elector nals Future outlets ** Violation notes on the reverse side