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HomeMy WebLinkAbout0039699-Plumbing (latearls) ;4: CITY OF OSHKOSH N2 39699 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG je SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS N PLAN NO. OWNER 1...e— DESIGNER USE /NATURE OF WORK ''S` n ` 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 E 49--- V E .*--G BT WH Disp WSoft _ CBasin Lav Sh DW DF _1 San. Sewer Z,11 C WC _ FDr SP Ur ( Storm Sewer (11 U C Sink LTub Eject SS Water Other p / FEES: Valuation $ 7D Q. Permit Fee Paid $ 30- © , • Park Dedication $ ISSUED BY �i. Date �/ / K Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � v/ ,3720y AGE WNER DA ADDRESS /7/ & Pl/4del ,Da, ! 2 G- e2$j TELEPHONE N 46/ Tuna= PERMIT APPLICATION £DDRESS /6.45 2429 DATE . 6 9 PERMIT* .--? . OWNER (Z-4 slc 1 - /10 Bn =mug COX llR-4lif,4 I XC✓ NATURE OP WORK 4/S'F - 0 � NEW RELAY REPAIR INTERIOR SAN SEW 4/`i - # # , WATER Pi Bathtub Sump Pump $TORX SEW . 4 / 4 Lavatory Ejector Toilet Water Softener INSPECTION DA INSPECT= DATE Kit. Sink Drinkin Q Fountain Sink(other) Urinal Waterheater Slop Sink ,Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin 700 ** Violation notes on the reverse side(