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HomeMy WebLinkAbout0026211-Plumbing (interior) CITY OF OSHKOSH N2 26211 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 1/ 3 s C C,f_,) PLAN NO. / (---- OWNER 01-- / O DESIGNER USE /NATURE OF WORK /C.0 .2-c-J S f ie - 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 a i ...., PLUMBING CONTRACTOR BT 1 WH _L Disp WSoft CBasin tA..3 r Lav _______/ _ 4 DW 3 — DF San. Sewer — WC Z F Dr _L SP Ur Storm Sewer Sink LTub Eect SS Water Other / - 4 C tti -c„- FEES: Valuation $ -2 B , (7 (5 Permit Fee Paid $ 7 © O ,y Park Dedication $ ISSUED BY .1 -e- Date /h // %/ Final /O.P. ) ) 3 - 9 9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE —�S.r i .:.✓� ,- i, MI MPS /O V / /4/f j i / f f • ' T/O NER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS 43 S' C .✓ DATE . // - //'; / PE ' • T# . C a / I OWNER PLUMBER j NATURE OF WORK l L�� �- / / ��"-� S � - NEW RELAY REPAIR INTERIOR SAN SEW I # WATER 1 Z Bathtub jl ,Catch Basin STORM SEW! , 4 Lavatory /I// j Grease Trap 3 Toilet iii 1 i Sump Pump / INSPECTION DATE INSPECTION DATE ' Kit. Sink / Local Waste Sink(other) Site Drain (4 C-,- /1- /z / Shower / / Laundry Stand Pipe j 7.2- Floor Drain // Laundry Tray Disposal / Wat. Softner E's ,,//// / Dishwasher / D. Fountain T / / 3 Water Heater Ejector Urinals Future outlets I) F .fl Gee.- ,- CS /j 3 t** Violation notes on the reverse side