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HomeMy WebLinkAbout0029670-Plumbing (interior alterations) CITY OF OSHKOSH N° 29670 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG A SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 6 3 A L S- PLAN NO. OWNER S DESIGNER i USE /NATURE OF WORK T_ s4 ,,+t7 a3 e(.) x 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 Dis� WSoft CBasin Lav (Sh _L DW DF San. Sewer INC FDr SP Ur Storm Sewer Sink _L LTub Eject /f SS Water Other /ICI(' Gu FEES: Valuation 2 S ©Q 0 Q Permit Fee Paid 3 4 o A Park Dedication ISSUED BY /04 Date 7/ "f Z Final /O. P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .Z ONER DATE ADDRESS TELEPHONE PLUMBING PERMIT APPLICATION ADDRESS 3 G,' ,C-( S --way DATE '--37/ 3 z PERT# '2 96 Ja OWNER L C _f� INATDRE OF WORT NEW RELAY REPAIR INTERIOR 1 WATER Bath Sump Pump S1'ORM SEW- 1 Lavatory/ Ejector 1 Toilet I Water Softener it- z lig •l I____! INSPECTION DAB Kit. Sink Drinking Fountain t s-//[/ Sink other TTrinAl lam Waterheater Slop Sink R. �/.7- Shower t Grease Trap Floor Drain Local Waste 3 Laundry Tub Site Drain 7/2- Disposal Laundry Standpipe ir Dishwasher/ Catch Basin ere- LT a) Cat l ct -getcw-r—a-- Violation notes on the reverse side{ 7 )-K