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HomeMy WebLinkAbout0038546-Plumbing (laterals) 'O N2 38546 CITY OF OSHKOSH PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG% SIGN ZONING FLOOD PLAIN HEIGHT f�� G% ADDRESS PLAN NO. OWNER ..-e- -r DESIGNER USE /NATURE OF WORK O --e--' 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 N PLUMBING CONTRACTOR Ai BT WH Disp WSoft CBasin t Lav Sh DW DF San. Sewer ?Z c WC FDr SP Ur Storm Sewer K 3 r/ C Sink LTub Eject SS Water Other FEES: Valuation 6 00. 8 d Permit Fee Paid 3 ©G Park Dedication L/ ISSUED BY `4 Date 0F/9 7` Final /O.P. X0 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9,,,,,,,_?3,2 5_`_ J-/ti'- 9,, AGENT /OWNER DATE ADDRESS y L C. TELEPHONE S 2/ 2 PLUMBING PERMIT APPLICATION ADDRESS L C/ L ej4� Ott DATE 0. 9 `/1 PERMIT# 3 S`S �4 OWNER 11Jw t lc n tt PLUNSER ELI 7')(2 -1 .i r.�m�.'� ..--:-.=.1F ..--:-.=.1F -0 NATURE OF WORK l NEW RELAY REPAIR INTERIOR 0 SAN SEW AJA R 1" Bathtub ST0RM SEW Lavator9 Sump Pub i E� ector INSPECTION Toilet Water Softener ON DATE INSPECTION DATE ,,�Ki.t. Sink Drinkin Q Fountain Sink(other Urinal Waterheater Slop Sink s/A /5'T 5 a7,- Shower Grease Trap Floor Drain Local Waste Laundry Tub Disposal Site Drain Laundry Standpipe r T Dishwasher Catch Basin Violation notes on the reverse side]