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HomeMy WebLinkAboutPlumbing (interior) C4-) CITY OF OSHKOSH No 11504 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ij SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / a /&2 X7, / PLAN NO. OWNER 4 74 6‘41 Z/eA<,..S DESIGNER USE /NATURE OF WORK /"c-<J .1 /1 /�jiW2i h 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 (...'/4 i 22 BT _L WH 4 Disp WSoft _ CBasin -..L Lav Sh 4_ DW _ DF ___ San. Sewer 3 WC _l_. FDr 4_ SP Ur Storm Sewer I Sink LTub _Eject SS — Water Other FEES: Valuation $ 2 3VV Permit Fee Paid $ . Park Dedication $ ISSUED BY Date 47 '2 Final /O.P. /2 /U In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 6 Z 41e-f",14.4:7 4 2- - 2_✓ /2— / — b' AGENT /OWNER DATE � ' ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS / / DATE JC 'aJ PERMIT# //6 OWNER ' ' : ' _...� . I ' a e PLUMBER _ 7,0 al9A Q ..0 'Mt/ NATURE OF WORK z /.r 4 & L q NEW RELAY REPAIR INTERIOR SAN SEW I - # # WATER + / Bathtub 1 Catch Basin STORM SEW1 3 Lavatory 01 1 Grease Trap 3 Toilet 41 / Sump Pump INSPECTION DATE INSPECTION DATE / Kit. Sink Local Wast Sink(other) Site Drain a‘ /© _/4-a- ) / Shower 1 / Laundry Stand Pipe &17--- /0(3(6y / Floor Drain Laundry Tray t Disposal Wat. Softner � Dishwasher 1 D. Fountain r-- 1 Water Heater 1 Ejector /� /'-�� 6 , - key-, J Urinals Future outlets Arad ilir j** Violation notes on the reverse side(