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HomeMy WebLinkAbout00419634-Plumbing (interior) Y CITY OF OSHKOSH N° 41994 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG 5if SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 0 ��!s PLAN NO OWNER DESIGNER 6. USE /NATURE OF WORK $A 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 111--- 7J -6� BT _1 WH Disp WSoft CBasin '!5------ Lav Sh t DW DF San. Sewer WC FDr SP Ur Storm Sewer J. Sink _!„dab 4CGt! Eject SS Water Other FEES: Valuation 3 V ©Q- CD Permit Fee Paid 0 Park Dedication ISSUED BY Date j ,G. Final /O.P. 9 g X In the performance of this work I agree to perform all work pursuant to rules governing the described construction. A SIGNATURE J /0-S NT /•WNER DATE Q ADDRESS C /7. A �?�Oi /1 J fi Ifi lid 0, D_ TELEPHONE 1 G INC PERMIT APPLICATION jy it /y 5/. //11,V Dam s� PERT# �iDDRESS, PLUMBER OWNER NATURE OF WORE /V NEW RELAY REPAIR INTERIOR SAN SEW 3 ao 45 WA R Bathtub i Su Pu I/ STORM SEW 'avatar. Ejector Toilet Water Softener 4 INSPECTION DATE Kit. Sink Drinkin Fountain Sink(other Urinal VA 6-/k l 7/ t Waterheater Slop Sink I Shower 1 1 Grease Trap t `Floor Drain 1 Local Waste (i F D om 1/..? r Laundry Tub Site Drain vl Disposal 1 Laundry Standpipe Ir 1 _Dis washer Catch Basin i rf x O .....w• i l n..aetes on the reverse side( j r 1 /ire Gfit 'A) 1_4 11 ,vu_S a 3 AV& -7 6 tWS ,F D c t.k