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HomeMy WebLinkAbout0028143-Plumbing (laterals) CITY OF OSHKOSH N° 28143 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG If SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS °` y 15- 2-91----- S 1 - PLAN NO. 4- I/ "" OWNER DESIGNER ` , , USE /NATURE OF WORK 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 BT WH Disp WSoft CBasin Lav Sh DW DF ( San. Sewer `f' "6/ C WC FDr SP Ur 1 Storm Sewer V ? G Sink LTub Eject SS 4_ Water / ' '.. Other FEES: Valuation $ / 3 • Da Permit Fee Paid $ 3 a Park Dedication $ ISSUED BY & ' W Date `( // / Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE . . t . - ; - ? r . ‘ 7 6 . 1 5 2 , 3 4,g—'/ -- 9'. AGENT /OWNER DATE ADDRESS TELEPHONE # v? S Z /,5` ADDRESS = `L .L PLUMBING PERMIT APPLICATION r OWNER / 4 L.. W � DATE 4 c -2.-- PERrQ ?# `' _l _. ? RE - PLUMBER alff C. , 4 .7i rte.,Sr,- © � � NATURE OF WO �' - . REP = r u i. INFRI OR WA • R =1� =__e - -- Su or _ � E'ector 1�. 0/ '- ` •' SP�►G?ION - 1 Water Softener DATE ,/ 1111 - Drinkin• Fountain i' �� INNI NII ne nill111 Slop Sink 1111 Floor Drain a -se Tra. 1111 Laundry u. Local Waste MO Dis•osal Site Drain /3�''' = Laundr Stand.i.e Dishwasher Catch Basin ** _Vinlat +on n e on h�