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HomeMy WebLinkAbout0027300-Plumbing (interior) CITY OF OSHKOSH N° 27300 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS Z S %o S PLAN NO. OWNER DESIGNER USE /NATURE OF WORK ji.�-t.) 5F /e - / /- i / 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 3— BT ( WH LDisp _ WSoft CBasin Li _ i'` Lav — Sh / DW DF San. Sewer a" .4 FDr / SP Ur Storm Sewer 4_ Sink / - LTub �� Eject SS Water Other ' / - 4 C G..i ,s- '�,*-� ff-c�L� FEES: Valuation $ 3 • 6 ' —e::) ° ° Permit F P $ 6.-C ° d r Park Dedication $ ISSUED BY Date —1 © .-7 --- Final /O.P. / _ 3 — 9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU B15.4_1_____14414.10140frt �%%ovyr/ A -!O "'7.z AGENT /OWNER DATE ADDRESS lei 7jf0 tem., eporAw . �/► `!I ∎1 TELEPHONE # L n PLUMBING PERMIT APPLICATION ADDRESS °15- aA 1, a.,1) DATE 11 OWNER . A1/��t.1V� Aid-411,4 9 � PERMIT# ! 2)7 � d 0 0 J UMBER 7vq,�Qpy( , NATURE OF WORK /1/ S F 4 - ,;,� N g -- EW RELAY REPAIR INTERIOR SAN SEW l'ft STORM SEW . Bathtub 'Catch Basin . Lavato • Grease Tra. Toilet / / Sump Pump INSPECTION DATE INSPECTION DATE 1 Kit. Sink Local Waste IA C___ /1 Sink(other) Site Drain _ Shower Laundry Stand Pipe / RI /l - a 0 / Floor Drain / t La un d ry Tray j (C _ g a) / .. - / / / Disposal / Wat. Softner - 3 — .2.-2 - I Dishwasher Q D. Fountain / Water Heater/ Ejector Gr.7 h /Lh - Q if �, Future outlets * n ot the rev erse side]