HomeMy WebLinkAbout0030646-PLumbing (xtra fxts) CITY OF OSHKOSH N 30646
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG SIGN ZON FLOOD PLAIN HEIGHT
ADDRESS 3 7 P/ Wair PLAN NO.
OWNER 4
DESIGNER
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USE /NATURE OF WORK r
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 Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation Permit Fee Paid O Park Dedication
ISSUED BY 7 Date 9 Z Final /O.P.
In the performance this work I agree to perform all ork pur ant to rules governing the described construction.
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SIGNATURE v -Z
AGENT /OWNER DATE
ADDRESS jO ii'`�e,"Zf ?"-e..iQ
TELEPHONE
MI PERMIT APPLICATION
ADDRESS /,'43 DATE g r PE rj 44
OWNER i i`
NATURE OF
WORE �G i 0 7- P .24%,
NEW RELAY REPAIR INTERIOR
SAN SEW
WATER Bathtub Sump Pump
:IV A. taVato
rector
Toilet Water Softener
INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain
Sink(other) urinal
Waterheater Slop Sink
7/) 2— Shower Grease Trap
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal Laundry Standpipe
,Dishwasher Catch Basin
Violation notes on the reverse side(
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