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HomeMy WebLinkAbout0020573-Plumbing (interior) CITY OF OSHKOSH N2 20573 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG4 SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /0 K A PLAN NO. OWNER '\ "" V DESIGNER w �+ USE /NATURE OF WORK / t� -�'_(' J F 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 Z_ -4 S � BT / WH ___L Disp WSoft CBasin U-) 3 Lav / Sh / DW DF San. Sewer WC _L FDr / SP Ur Storm Sewer Sink _L L.Irib41 C . (.) • Eject SS Water Other FEES: Valuation $ ( e /j C"5 'C'' C. Permit Fee Paid $ i4 el) D Park Dedication $ ISSUED BY Ce-- -we Date —2 2 "G Final /O.P. /' 0 "7/ In the performanc f this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE i 5 7 9 AGENT /OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION / // -/ V PERMIT # oP©S - ADDRESS �0 s L .._ 6-� DATE OWNER S �.._.. s� � PLUMBER ' / 'P'� NATURE OF WOR1 s NEW RELAY REPAIR INTERIOR # . SAN SEW # A "-Bathtub Catch Basin WATER 3 Lavatory Grease Trap STORM SEW 3 Toilet / Sump Pump l Waste INSPECTION DATE INSPECTION DATE / Kit Sink Local Sink(other) Laundry Stand pipe (A C1 �, �� / Floor rDrain Laundry Tray _ 6 G( $ - g -Jo / Disposal Wat. Softner l / Dishwasher D. Fountain l /3/7 Wa.ter Heater Ejector Urinals Future outlets t 1** Violation notes on reverse side