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HomeMy WebLinkAbout0019770-Plumbing (interior) CITY OF OSHKOSH N2 19770 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG IN SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 3/6 ,( PLAN NO. ite ...e.::.72_a e...„, OWNER ,t) ���C —cliy DESIGNER ,� J / USE /NATURE OF WORK /`-'� —�- 5 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 f ;)----------- Fixtures Switches Receptacles Circuits Ai;a /144„0.....4:7 PLUMBING CONTRACTOR ..2- WH Disp oft CBasin 1 - Lav Sh DW DF San. Sewer 1- WC / FDr j SP Ur Storm Sewer J.__ Sink A,. LTub Eject SS Water Other 1 //- CU 4.torilt-cif2 _ / FEES: Valuation $ 0.O 8 Permit Fee Paid $- © d Park Dedication $ &A-de; ISSUED BY r Date g - 3 - Final /O.P. 6"-,.. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9 V ! +", (/( ..- 47g4 4' r/ * 3- AGENT/ NER J DATE ADDRESS TELEPHONE # PLUMING PERMIT APPLICATION A b �r 1 DATE 9 ' --9 PERMIT1 _ / / 7 7 ADDRESS. t� ll® //" ri � �'s�t' � - , OWNER 60.....,..a.:.......:...- PLUMBER PLU �,4� ""�� 9 s , NATURE OF WORK NEW RELAY REPAIR INTERIOR . SAN SEW WATER y Bathtub I/ Catch Basin STORM SEW. 2- Lavatory i1 Grease Trap L Toilet // / Sump Pump / INSPECTION DATE INSPECTION DATE / Kit. Sink / cal Waste Local Drain Sink(other) yj C9- - OX- g -/, -To Shower / Laundry Stand Pipe/ / Floor Drain / / Laundry Tray /' i GI 1-10-9/ , Disposal Wat. Softner •i- Dishwasher D. Fountain �' / Water Heater / . Ejector .Urinals Future outlets - -Q, r --5 off 6 - Y^ 7 / t** Violation notes on the reverse sidet