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HomeMy WebLinkAbout0028659-Plumbing (interior) (41; CITY OF OSHKOSH N°_ 28659 — PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 0 TlS- S PLAN NO. OWNER 6-" DESIGNER /� USE /NATURE OF WORK �S R - 04--&-2--.-:-Z- 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 e-LiQ. ( tt CJ 6�-- BT J WH 1 Disp WSoft CBasin _ 3 f Sh I DW DF San. Sewer 3 WC / FDr / SP Ur Storm Sewer Sink LTub Eject SS Water Other ( - A C GJ . . A " r- FEES: Valuation $ 9.745°• C 0 Permit Fee Paid $ 60,o © Park Dedication/$_ ISSUED BY (..)� Date 3 7/y2 .2 — Final /O.P. 47 9. / In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 4 4- • Z - Mp /. � y'_ /1. 6 12 AGENT /OWNER t DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS, DATE , -5 0 �- OWNER f - 40 - , PE�� . 8� s wNER £.J �_ - NATORE OF WORT. , iv's != R -- Z #' 47 op . =°_ NEW REI REPAIR INTERIOR SAN SEW ill WATER / Bathtub / # Su �• ;4.. a. J Lavatory // Pu Tai.let EJ ector INSPECTION DATE IgSPECTION Water Softener DATE /lit. Sink 0 Drinking Fountain l 1 G ) ,.' /�[ Sink(other) [TrinRl Vl / / Waterheater / Slop Sink rSJ- , , r�r.,,� . —_„ ( Shower / Grease Trap `f <! / Floor Drain / Local Waste _ Laundry Tub Site Drain ,_- / I Disposal / / Laundry Standpipe/ / .,,,,,(. Dishwasher / atch Basin J d7-'" ° /1"-t- A/C__ CE414' 817 9L. ** Violation notes on the reverse side{