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HomeMy WebLinkAbout0041669-Plumbign (laterals) CITY OF OSHKOSH N- 4669 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBG g SIGN ZONING FLOOD PLAIN HEIGHT /‘g/ W ADDRESS PLAN NO. OWNER k DESIGNER A/ de_p_____ USE /NATURE OF WORK J BUILDING CONTRACTOR Size Sq. Ft. Rooms Stories Height Foundation Class of Const. Occupancy Permit I4EATING 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 BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer J c WC FDr SP _Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation A------) O ©o Permit 3 0 o a t Fee Paid Park Dedication ISSUED BY Date/ Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 4/4 /9 YJ �y AGENT /OWNER /,y DATE ADDRESS 14 I 2 td J T 7D9 s f L S 0 TELEPHONE y it 1.ING PERMIT APPLICATION ADDRESS r 4 OWNER i� DATE 9 S PERMIT# Y/6 2 NATURE OF WORE --C eD .i. REPAIR 0 .(OR SAE v1 0 Vc e R r. r Bathtub Sum. Pu Lavato Euector INSPECTION DATE o.let Water Softener DATE Kit. Sink S/r ST //9/fy( S other Drinkin Fountain f/� e. ter Slo. Sink -se Tra. Floor Drain MI Laundry u. Local Waste Site Drain Dis•osal Laundr Stand•i.e Dishwasher Catch Basin *,r