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HomeMy WebLinkAbout0036576-Plumbing (interior) CITY OF OSHKOSH N 36576 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 3.&'( U P NO. OWNER R l_e DESIGNER USE /NATURE OF WORK V f F 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 5 Cit—f —e-e =e 4 c...-o- BT WH Disp WSoft CBasin Lav Sh 1 DW DF San. Sewer 3 WC i FDr 1 SP Ur Storm Sewer Sink dab 4C u) Eject SS Water Other FEES: Valuation V Q©.6 6 Permit Fee Paid (4 O Q 0 Park Dedication ISSUED BY Date rip- 7 73 Final /O.P. Zi '°1 r q In the performance of this work I agree to perform all rk pursuant to rules governing the described construction. /0 T3 SIGNATURE It_ AGENT /OWNER DATE ADDRESS S�D 77 1 /r�G !if MA/A. A/A. ci 23v TELEPHONE PLUMBING PERMIT APPLICATION 3 h i DAT! 2 ADDRESS 73 PERT# 3 N e- s ue OWNER PLUMBER i ..,,i., NATURE of WORK A/sf k 1.-....,..:1, p.-4 NEW RELAY REPAIR INTERIOR 17 T SEW ER Bathtub 1 Sump Punm ORM SEW 3 Lavatory /(t Ejector Toilet Water Softener INSPECTION DATE INSPECTION DAB Kit. Sink Drinking Fountain A 3 Y .)aa Sink(other) Urinal I Waterheater Slop Sink Q P 2 Shower Grease Trap 0� Floor Drain Local Waste Laundry Tub Site Drain j V t1' Disposal Laundry Standpipe/ J Dishwasher C,� 1/4r% 1 /1 7 4 Violation notes on th ide