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HomeMy WebLinkAbout0043477-Plumbing (laterals) Tv 2_ (41111-1) CITY OF OSHKOSH N° 43477 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG , SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / �--.c5,-- PLAN NO OWNER - DESIGNER USE/NATURE OF WORK - dESE 32 4 1 1 7 ' - ir - .--- -te - --e--4 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 /7..42- z — BT — WH _ Disp _ WSoft _ CBasin — Lav _ Sh _ DW _ DF — San. Sewer - WC _ FDr _ SP _ Ur _ Storm Sewer — Sink _ LTub _ Eject _ SS _L Water ( i • - Other FEES: Valuation $ ir'2 c) © • CI 6 Permit Fee Paid $ l'®, d ✓ Park Dedication $ ISSUED BY Date % s /71/45 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE C�Se - / - /3 - fr- AGENT /OWNER DATE ADDRESS ?d 7‘ r /-._ 9-i1- 6 7 44 s' 7 TELEPHONE N P WC PERMIT APPLI ON t / ADDRESS. -3/ /� DATE . � �/f S C PERMIT# , K35z -27 OWNER , r _„„,_„„--` - � s - a�„ ..r PURSER } iiii NATURE OF WORK T ' / • ' ' NEW RELAY REPAIR INTERIOR SAN SST # # 'MATER / e.---7.t _ Bathtub Sump Pump STORM SEW Lavatory Ejector , Toilet Water Softener INSPECTION DATE INSPECTION DATE Kit. Sink , Drinkin g Fountain Sink(other) Urinal A/6 r `7 /t 1 • 3 :, Waterheater Slop Sink /I� Q Shower Grease Trap 9 +� ,Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on the reverse side]