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HomeMy WebLinkAbout0042724-Plumbing (laterals) CITY OF OSHKOSH N 42724 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG /r SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 3/ 5‘k .4 ' i ' PLAN NO. OWNER 1( � (--a-c DESIGNER / / "___ USE /NATURE OF WORK _VS/ U 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 � — BT _ WH _ Disp _ WSoft — CBasin 54 G Lav Sh DW DF J. San. Sewer t v c — WC FDr _ SP _ Ur r r � Storm Sewer �`" 0 1/ C - Sink _ LTub _ Eject _ SS / Water Other FEES: Valuation /� ©• © 342 ®-o $ Permit Fee Paid $ Park Dedication $ ISSUED BY Date //' 3 - ? Final /O.P. In the performance f this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE // -0.2 3 - 7f AGENT /OWNER DATE ADDRESS d / S " ' i 5 -,( / 05u44-0 c 35.6 s45 TELEPHONE # 11 LING PERMIT APPLICATION ADDRESS, 3l 7 1S� DATE . /7 main* . Y-.2 7 —2 OWNER , -r-c- - , PLUMBER — //. NATURE OF won /:-CA 0 ------ • A NEW RELAY REPAIR _ INTERIOR ` SAN SEW Y U L # # DATER / ' I Bathtub Sump Pump 5TORM SEW Li {/ L �� , 'Lavatory Ejector 'Toilet Water Softener INPE SCTION -- DATE INSPECTION DATE Kit. Sink Drinking Fountain Sink(other) , urinal 3 y SAj S r s /J /,L. }1 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 ejsi