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HomeMy WebLinkAbout0043478-Plumbing (interior) 2 o CITY OF OSHKOSH N °- 43478 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG/rf SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / D FC - _,f/ PLAN NO. OWNER �., - . , , DESIGNER USE/NATURE OF WORK 1 - P4 rte-- 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 - _f___ BT _ WH I- � Oisp _ WSoft — CBasin 3 Lav _L Sh _ DW _ DF _ San. Sewer 3 WC f FDr SP _ Ur — Storm Sewer Sink LTub 'e-.: _ Eject _ SS — Water i i her '�' ►�^- ... -i_ - A l CA,/ 7 G rc 5 FEES: Valuation $ K�� Q - Q a Permit Fee Paid $ g / © - © / Park Dedication ISSUED BY `��/'�� Date ' ' i Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE' 7,� - l'/) ' f AGENT /OWNER DATE ADDRESS /� ?C - � "3t/ 1... -. _� ;31— 6 >y $ �� TELEPHONE # PURSING PERET APPLICATION '' 17 7 ADDRESS A>4° f :- DATE 6/ / R Y. V PET# K3 f` ?.? OWNER . 66-1‘..i''' / . Y ' ` --�- PLmMMER . �-e---z- i NOSE of WORK . - .. «�� , � _, NEW RELAY REPAIR .: RIOR SAN SEW # # WATER / Bathtub / / Sump Pump / STORM SEW. Lavator9(I/ �_ Ejector 3 Toilet /7/ Water Softener ICON DATE INSPECTION DATE / Kit. Sink Drinking ) Fountain e / Sink(otherW k AA iirinal U — ,ilk' — Nd G , / y terheater/ Slop Sink / Shower / Grease Trap I A ( 7/� I Floor Drain / Local Waste la Laundry Tub /� Site Drain 9 y T ' / 1 Laundry Standpipe/ / 7 is asher Catch Basin ; ( 1. 1 .g ""4 t YL iii"( 0.41)41) le i. n notes an he revers sidel vu l / 9. - 1 9 ( l,/l/