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HomeMy WebLinkAbout0036900-Plumbing (laterals) zo7 CITY OF OSHKOSH N 36900 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG izi SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS �o /0 T j PLAN NO. a„,,,e7g OWNER DESIGNER USE /NATURE OF WORK V s 0 ------Z-:-Z- /..4, 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 I 40- BT WH Disp WSoft CBasin Z Lav Sh DW DF I San. Sewer C WC FDr SP Ur Storm Sewer I 0 C Sink LTub Eject SS T Water l Other FEES: C 3 O.© Park Dedication S Valuation d Permit F ee Paid O ISSUED BY Date z 7 Final /O. P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Z-- 3 AGENT /OWNER DATE ADDRESS TELEPHONE DICING PERMIT APPLICATION ADDRESS, `7 DATE lA PERMIT* 3.6 a OWNER C PLUMBER ie eL- 9 NATURE OF WORK X/ P I O i NEW RELAY REPAIR INTERIOR SAN SEW C- WATER 1- Bathtub Sump Pump STORM SEW (OUC Lavatory Ejector Toilet Water Softener INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain q Sink(other) Urinal VA1/57” S ////-V, 3 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(