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HomeMy WebLinkAbout0043099-Plumbing CITY N2 43099 Y OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG x SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 4 , PLAN NO. OWNER G �,-, s. -g DESIGNER / 7 USE/NATURE OF WORK .1 .. / . , or GI / - L 4.4. 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 ((.[,14 C4._ ▪ BT _ WH ._ Disp _ WSoft _ CBasin Z----- L. Lav _ Sh _ DW _ DF — San. Sewer • WC FDr _SP _ Ur _Storm Sewer 4 _ Sink _ LTub _ Eject _SS _ Water Other FEES: Valuation $ , .Lj/ Permit Fee Paid $ g rte— Park Dedication $ ISSUED BY . .a: Date /A, /9/5'e Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. 0 SIGNATUR ) . / . •I • . . -/ 11 rr AGENT /OWNER DATE ADDRESS ?" `)hedittil 54 ©(ch '7- 35- 1((9 TELEPHONE # OWNER ►. a-' ■' yDp�TION NATURE OF won p PERK _ RELAY - FAIR 41 wA. „ R _ 'mum ii, 4" iv. • - - iffitarmum RIO DATE iiii Su • Pu sOTION DAZE Ejector Water Softener = s(other Drinkin• Fountain ��� ` �i �L' -7� .. Slo• Sink Dr 'f go (7' i Floor a -se Tra. l Laundry ain y Tu. Local Waste 14 (..._ //, s.-- y / 3 Dis.osal Site Drain Dishwasher Laundr C4-4/ sh Catch Stand.i.e ,7 / / Catch Basin ti 3 ® II / ss II /• ( )..) 3 >( 0 flk ' ‘. /7/ , y