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HomeMy WebLinkAbout0036976-Plumbing (laterals) CITY OF OSHKOSH N° 36976 Clip) PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG k tr SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS /sz 7 /ill y g PLAN NO. OWNER DESIGNER USE /NATURE OF WORK /f,/.5 FA o i 1 BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat p 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 646-1. BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer `7‘.®QJ G WC FDr SP Ur Storm Sewer I J G Sink LTub Eject SS f Water Other FEES: Valuation 0 0 0 0 0 Permit Fee Paid 3 6 ©d Park Dedication ISSUED BY Date /1.6 Final /O.P. In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE 7 ie5 0 3, s- li- -,/6--1 AGENT /OWNER DATE ADDRESS tYvLK x....2a, G TELEPHONE )r/ /1 �INC PERKY APPLICATION low v L ADDRESS /2 DATL t y 73 PERI�IIT# y76 OWNER 4: NATURE OF WORE ��C� 4 NEW RELAY REPAIR 4 r RIOR SAN SEW K ®v C WATER l- Bathtub Sump Pump STORM SEW YPPU C Lavatory Ejector Toilet Water Softener INSPECTION DATE CTION DATE Kit. Sink Drinkin a Fountain �7 „s Sink(other) tlrina� Waterheater Slop Sink Cyr L— Shower Grease Trav Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin Violation notes on the reverse sidet