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HomeMy WebLinkAboutPlumbing (laterals) CITY OF OSHKOSH N°_ 24613 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG 4/ SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 6 C / e --�-e PLAN NO. OWNER - -r%a=-L.c.eyr C-c-c. ".r DESIGNER USE /NATURE OF WORK /1)..z..,..) - "---7 - d / / 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 Pa, (Hoot__ BT WH Disp WSoft CBasin Lav _ Sh DW DF _L San. Sewer K P d C WC FDr SP Ur r Storm Sewer ®J C- Sink LTub Eject SS l Water / Other 7 C7c�. o0 3 ©, c9 a FEES: Valuation $ Permit Fee Paid $ Park Dedication $ ISSUED BY etelez Date 2 _ 3/-97 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1 _I4- / 7 - 3 AGENT /OWNE -111111 DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION 2 � ADDRESS. /14 V�t � �! . �I s < - DATE 6f /`//9/ PERMIT #k OWNER SP [}II) CA- 50 CUS iwl 14 x-re S PLUMBER 4 1n t 5 (1,p-fA a -ter- 4 NATURE OF WORK C ri LJ S ca) + Lii W'r L 41 NEW RELAY REPAIR INTERIOR SAN SEW # # WATER / Bathtub Catch Basin Lavatory Grease Trap STORM SEW y` J Toilet Sump Pump Locs Waste a Local Ws INSPECTION DATE INSPECTION DATE Kit. Sink Loc Dan Sink(other) Site ,� ( /S 5' Shower Laundry Stand Pipe C_ Z.����'" /�'��" Laundry Tray Drain y y Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector sz. U Future outlets � t** Violation notes on the reverse side'