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HomeMy WebLinkAbout0031133-Plumbing (renew #25908) CITY OF OSHKOSH N 31133 PERMIT APPLICATION AND RECORD TYPE: BLDG HTG ELEC PLBGj SIGN ZONING FLOOD PLAIN HEIGHT ADDRESS 'Z e /0 z PLAN NO. OWNER K DESIGNER Q USE /NATURE OF WORK 6h_ y 2 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 !r 1/' r BT f WH Disp WSoft CBasin `OW r Sh DW DF San. Sewer WC FDr r SP Ur Storm Sewer L Sink LTub _Eject y� SS Water Other g C �Z�` FEES: Valuation 3 ©6 Permit Fee Paid si a 0 Park Dedication ISSUED BY Date C C5 v Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE- �I 1p- t -9Z AGENT /OWNER DATE ADDRESS TELEPHONE PLUMBING PERMIT APPLICATION ADDRESS. ..22/° &J. -s, 7 DATE //S z .3113] PERMI OWNER OCe C PLUMBER GJ Q� NATURE Or WORE /JS/ 441 NEW RELAY REPAIR INTERIOR SAN SECT '''TA! R "7-Bathtub Sum. Pu STORM SEW. o Lavatory Ejector Toilet Water Softener INS_ PECTZON DATE INSPECTION DATE Kit. Sink Drinking Fountain Sink(other) Urinal (Waterheater Slop Sink Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe 7 Dishwasher Catch Basin Violation notes on the reverse aide