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HomeMy WebLinkAbout0036967-Plumbing (laterals) sO CITY OF OSHKOSH N 36967 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG i lt SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS g PLAN NO. OWNER ger_xx, 7 DESIGNER Q USE /NATURE OF WORK V-Sf. to o .,,_-_,:.-Z 4,1--,. 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 -co-ez- BT WH Disp WSoft CBasin Lav Sh DW DF 1 San. Sewer i i C WC FDr SP Ur _L Storm Sewer K °0 C. Sink LTub Eject SS __L_ Water d Other FEES: Valuation ©a 0 Permit Fee Paid O Q d Park Dedication ISSUED BY Date !//�°/73 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE O LS d �71214'S15,1-702 s 6'-- -1 AGENT /OWNER DATE ADDRESS JV'K ey c..7 4 4%,.• 5''- 3775--- TELEPHONE PLUMBING PERMIT APPLICATION �iDDRESS, 1 e h `f izez Yrp DATE /C -93 PERMIT* 3 )C7 !/�1 �I PLDMBZR i71.ti, C -ri NATURE OF WORE ¥`Acx. I f "ielth4✓1 2 /1 r l i NEW RELAY BOAIR ANTERIOR SAN SEW WATER Bathtub Sump Pump STORM SEW. Lavatory Ejector Toilet Water Softener 1.: DATE IN CTION DATE Kit. Sink Drinkin• Fountain Sink(other Urinal Waterheater Slop Sink ,Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin Violation notes on the reverse side(