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HomeMy WebLinkAbout0045551-Plumbing (interior) //0 _® CITY OF OSHKOSH N ° - 45551 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG r( SIGN ❑ ZONING FLOOD PLAIN HEIGHT lAacrelf ADDRESS 1 `0 5 L Q _r L n PLAN NO. I ' OWNER l /� . (a a 4'1 nrr- S b l r,u ba DESIGNER �` USE/NATURE OF WORK IV F - Trisinie - p (u. r b vJ9 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 J e cr ftjer'J en Z BT 1 WH Disp — WSoft _ CBasin 3 Lav _ Sh I DW _ DF — San. Sewer Z WC _L FDr 4_. SP _ Ur — Storm Sewer 1 Sink . _ LTub _ Eject — SS — Water Other 1 Lnd ry 5-1-1 FEES: Valuation $ 1 /1 26 6 • ©D Permit Fee Paid $ 5 l 0 . ( ( Park Dedication $ ISSUED BY Date 6 -- .2 O ' Final /O.P. /a'!/ i /9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE -71 •...lb. r -2 AGENT /OWNER DATE ADDRESS / C..? C G... 23 ,5 > TELEPHONE # Plumbing Permit Work Card Job Address 1105 LAGGER LN Permit Number 41909990 SS3 / Create Date 06/20/95 Owner CLASSIC HOMES BY KUBA Contractor JEFF MERTEN , - "'tegory 410 - Residential- Interior Plan Value $4,200.00 .thtub 2 Shower Ejector /Grind Dip Well F Prep Sink Grease Trap Whirlpool Floor Drain 1 Water Softner Drink Ftn Sery Sink Receptor Lavatory 3 Lndry Tray Local Waste Wait. St. Shamp Sink Other Toilet 2 Lndry Stndp 1 Clothes Wshr Ice Chest FIr/Wst Sink Res. Sink 1 Disposal 1 Bidet Exam Sink Catch Basin Bar Sink Dishwasher 1 Beer Tap /Soda Sculry Sink Wash Ftn Water Heater 1 Sump Pump 1 Dent. Oper. Hand Sink Urinal Use /Nature of Work NSF INSIDE PLUMBING Size Material Type # Conn.Type < Sanitary Sewer �G � y i I 6 �� Storm Sewer ..aer Service Date Type Inspector U Approved vCam- 6 -- /s 4 J - -9, r 19./1/ Sisr--- t /os. �N i/C� 3 a 0\1C L o C fZ ulfIEK `-k