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HomeMy WebLinkAbout0043313-Plumbing (laterals) CITY OF OSHKOSH N °_ 43313 PERMIT -� APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS C O 3 z) /--- a- G�.--/ PLAN NO. OWNER / 1 <e-c, DESIGNER '/ USE/NATURE OF WORK /Y S F— 0..-e.......-.;Z... #.--e.-- 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 `/ i ' E — BT — WH _ Disp / _ WSoft — CBasin C _ Lav _ Sh _ DW _ DF _L San. Sewer / i ' " — WC — FDr — SP —Ur YU JC- �. Storm Sewer — Sink LTub Eject — SS Water / Other el 7 FEES: Valuation $ 7°C - O O Permit Fee Paid O - © — $ Park Dedication $ ISSUED BY 7/--- Date / 0-..S — Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / / /W c AGENT.�r R DATE ADDRESS /7/9 T Q 1 - 1 1 1,0 - D Pr 'y2‘-- 25- TELEPHONE # Lo/ PURSING PERMIT APPLICATION ADDRESS /o 3 a L' - i DATE /0 /0 y T 331� T# oJNER .� .�: t'- ` NATOSE of WORK 4./..5�� - 0 / / / / , NEW RELAY REPAIR INTE SAN SEW WL/C * # WATER G,.- Bathtub Sump Pump •; , A. L /C- Lavato E'ector Toilet _ Water Softener _ SON DATE INSPECTION DATE Kit. Sink Drinkin Q Fountain Sink(other) ,_ Urinal , Waterheater Slop Sink Shower Grease Trap / D Floor Drain Local Waste S S r ,/, ©// cL Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on the reverse side(