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HomeMy WebLinkAbout0041049-Plumbing (laterals) CITY OF OSHKOSH N° 41049 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG If SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /beD 4 4t/ PLAN NO OWNER C_(,–r%_,- - it- DESIGNER ,�// USE /NATURE OF WORK /vS /:' — CI -<-tr 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 F 0 0_,_12 ----c.– BT — WH _ Disp — WSoft — CBasin ( - Lav _ Sh _ DW — DF _L San. Sewer C- - WC _ FDr _ SP _ Ur ! Storm Sewer i t/ C Sink _ LTub — Eject _ SS Water Other FEES: Valuation $ 7•571) _o d Permit Fee Paid $ 3 / lt/�1 © ,, - � O O Park Dedication $ ISSUED BY__________---- Y Date g / ` // Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 6 j/( , 2? e //z/ y y j f /c� AGENT /OW ADDRESS / ! ` / // I c/ t/ii A /2(v 02s-6 TELEPHONE # PLUMBING PERMIT APPLICATION fe /0 a C_ q ADDRESS OWNER C �/ ' DATE 6 /°L r/ ' ) � PERMIT* , 5`l ° �/ rfr -`� - t • .i A: v C NATURE OF WORK �',�S/`- - d , ' / NEW RELAY REPAIR ' ' v BI OR SAN SEW HIV G # WATER l r Bathtub # Sump Pump , oLavatory Ejector i� • .�,� Toilet Water Softener INSPECTI' DATE Kit. Sink Sink other Drinkin• Fountain '� GZ.,g� '� �� -- r- -- k – Urinal _4-'71— �.._,. Waterheater Slop Sink COQ. ,e---- S hower Grease Trap Floor Drain Local Waste J Laundry Tub Site Drain 5 ` Disposal Laundry Standpipe Dishwasher Catch Basin ** , -• • Y- rt-