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HomeMy WebLinkAbout0024858-Plumbing (interior) CITY OF OSHKOSH N° 24858 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / O S' \ 5 / PLAN NO. OWNER C- J/ DESIGNER / / ,Q USE /NATURE OF WORK /0-12—c...) ` /\ — 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 PLUM BING CONTRACTOR _ 1--- BT T f WH / Disp WSoft CBasin �'`ii"" /y — Tav Sh / DW DF San. Sewer 7"—WC / FDr SP Ur Storm Sewer Sink LTub 4L '!' ct SS Water Other / .. FEES: Valuation $ Y: O d Permit Fee Paid $ � - o 6 Park Dedication $ ISSUED BY p—e—e42:: Date S'- / � -� Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 1 I AGENT /OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS v Y;2 a -5 .S'r DATE �' - 8 - 2 f gs 8' G D l PERM/T# OWNER PLUMBER IvGZ NATURE OF WORK /O,.LW --C F - o- C 7 ,' � © o , c O NEW RELAY REPAIR INTERI SAN SEW WATER 2'..-Bathtub 1 I Catch Basin STORM SEW ]---Lavatory j Grease Trap INSPECTION DATE INSPECTION DATE 7—Toilet / * I / Sump Pump / C Kit. Sink / ,Local Waste 1,1 7 - / / Sink(other) Site Drain Shower / Laundry Stand Pipe/ " /3 t Floor Drain / Laundry Tray , 3 0 / Disposal / Wat. Softner / Dishwasher/ D. Fountain / Water Heater/ Ejector `_Urinals Future outlets I** Violation notes on the reverse side] EAU I ,lp* 2„5 cie l � f