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HomeMy WebLinkAbout0035691-Plumbing (laterals) 4 / CITY OF OSHKOSH N2 35691 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A] SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ///.S ./ i PLAN NO. OWNER ��..Q_ C- DESIGNER USE /NATURE OF WORK y� Q f f/1 " t 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 F BT _ WH _ Disp / — WSoft J CBasin - Lav — Sh — DW — DF ( V 0' �l San. Sewer — WC . — FDr _ SP Ur ( Storm Sewer K P J e Sink LTub Eject SS L Water l Other 6. 0 ©• ©0 30,0 C FEES: Valuation $ Permit Fee Paid $ Park Dedication $ ISSUED BY Date , .-3 j >1 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ' ' E � (�//// AGENT /OWNER DA ADDRESS TELEPHONE # rLDIBING PERMIT APPLICATION ADDRESS. $ "//'rS"'�.- 4 DATE . 7/ � - -6 l 1 ��� C ,� �J �99 PEBMIr# naval' of WORK /VC i< - Q 1 NEW REI A REPAIR • , s RI OR SAN SEW `1 C - # - `1 # - WATER Gmmew ' Bathtub • ; 4. A. 041.)C Sump Pump Lavato E'ector INSPECTION Toilet Water Softener DATE inn ON DA Kit. Sink Drinking Fountain ��_, kD . Sink(other) final Waterheater Slop Sink Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain 6Q U Disposal Laundry Standpipe - Dishwasher Catch Basin ** Violation notes on the reverse side]