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HomeMy WebLinkAbout0026209-Plumbing (interior) CITY OF OSHKOSH N° 26209 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG M] SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /75-0 C L ,U PLAN NO. OWNER / c i4 DESIGNER USE /NATURE OF WORK /ti -. s - 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 / 9- BT f WH Disp WSoft CBasin 1-‘31e_ 4 Lav / Sh J DW DF San. Sewer — we f FDr '� SP Ur Storm Sewer Sink LTub Eject SS Water Other / ` ? C ye /g,c K 7.7_ FEES: Valuation $ S�6 a o • 0 _ Permit Fee Paid $ © Park Dedication $ ISSUED BY C-0,4---e.-42.,, Date i / l - 9/ Final /O.P. / - d D - J In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE —..6/i � , (77...7 /9� /ov ,/,/c7/ / / GE /OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS / /6--° L'- % L /� DATE - ,2 S - F/ j1 T# _# OWNER -..-_ PLUMBER - NATURE OF WORK / /.�-c- S f i) -- / / _ / - NEW RELAY REPAIR a INTERIOR SAN SEW I # l WATER L Bathtub Catch Basin STORM SEWI Lavatory 1111 Grease Trap 'f Toilet /1/, L Sump Pump ( INSPECTION DATE INSPECTION DATE / Kit. Sink Local Waste Sink(other) Site Drain (,( /0---/ d , / Shower / / Laundry Stand Pipe/ "` 1 Floor Drain ( Laundry Tray // - 02. o / Disposal / Wat. Softner / Dishwasher / D. Fountain / _ ,2.- 2 —9z . / Water Heater ) Ejector Urinals Future outlets / / tkle Violation not- = A the revere side!