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HomeMy WebLinkAbout0040528-Plumbing (laterals) 1a/ CITY OF OSHKOSH N2 40528 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG, SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 7 PLAN NO. OWNER DESIGNER USE /NATURE OF WORK �P�er C�t Ct.i/ S "/"Zi_ GV 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 El Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer i WC FDr SP Ur Storm Sewer Sink LTub Eject SS 4_ Water Other Oa FEES: Valuation a Permit Fee Paid $t Park Dedication ISSUED BY Date 7/-20 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7 2:rd1114/4..e.Li /aJ ,Q AGENT /OWNER DATE ADDRESS 'kJ elf( ie �Y 6 o S b TELEPHONE Kr PL c1 LING PERMIT APPLICA ON 5 ADDRESS. 7 (J ©v J. DATE 'e PERMIT# OWNER 1 c PLUMBER q,,,,,, 21 NATURE OF WORK <1.- CA.) c t MEW RELAY REPAIR INTERIOR SAN SEW q WATER h Bathtub Sump Pump STO$M SEW. 4/ a Lavatory Ejector I Toilet Water Softener NSPECTION DATE INSPECTION DATE Kit. Sink Drinkin g Fountain Sink(other) Urinal e, p 7� G Waterheater Slop Sink e ,Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin Cle c O Ze.3 9 5 �c it z c J .:--ez," to ,C -G a �e�t�rti riYrR -w Violation notes on the reverse sidel 'x 1