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HomeMy WebLinkAbout0009917-Plumbing (laterals) CITY OF OSHKOSH N o 09917 PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGS SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 2P2 ���.6.-->- PLAN NO. OWNER .---- ;?..-r' / t 4, DESIGNER USE /NATURE OF WORK .5 4 /L /GCiG'Lia ea=.';,j 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 ea eilyv - BT _ WH Disp WSoft CBasin 6- _Lay Sh DW DF San. Sewer � - WC FDr SP Ur ___/Storm Sewer !. / ' - Sink LTub Eject SS _/Water / 4 f 73 - Other FEES: Valuation $ Permit Fee Paid $ ... Park Dedication $ ISSUED BY j i Date cOcr4d Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 9 4--- .✓� /- '-'J .777".14'S ©3?a UV/ g /18 AGENT /OWNER DATE ADDRESS TELEPHONE # �/ PL UMB PERMIT APPLICA ADDRESS 7 �r ai f, DAT ( __L_ PE T# 9( OWNER . /,i.4 P _ c-A LU __ PMBER �° — ( r NATURE OF WORK -5 e4-- ` 1, NEW RELAY REPAIR INTERIOR SAN SEW 1 / °' g # WATER ff / h Bathtub Catch Basin STORM SEWI 5/1 Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain / � . tea" Shower Laundry Stand Pipe erve c�! / / Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets • 1** Violation notes on thg rgverse sidel