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HomeMy WebLinkAbout0022268-Plumbing (laterals) CITY OF OSHKOSH N° 22268 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Al SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS l!' '� ,Za S - �' PLAN NO. OWNER v 0 • 4.0--- DESIGNER ' USE /NATURE OF WORK w -�-w S F K — © eJ 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 X d Gi l ie— BT WH Disp WSoft CBasin - Lav Sh DW DF t San. Sewer $" / 0 c- WC FDr SP Ur / Storm Sewer K e LI - Sink LTub Eject SS _L Water / er..-` Other FEES: Valuation $ //0 0 Q Z3 Permit Fee Paid $ -- ° ° a Park Dedication $ ISSUED BY ) K. Date .,,, Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ! - �.7 C / l i 5 033 ;2,5 AGENT /OWNER DATE ADDRESS TELEPHONE # PLUMING PERMIT APPLICATION .2--2--7--4 ADDRESS 5 � D it l' ' Q'"`, DATE /2 PERMIT# OWNER Ilk...4.1.1- t.__L 1 PLUMBER !4 C c(►Z NATURE OF WORK 1 t-1' 0"w_, 4 " l " tx) clan. • NEW RELAY REPAIR INTERIOR SAN SEW Bathtub Catch Basin WATER /� 'Lavator i 'Grease Trap Toilet STORM SEW r tI L. ■ Sump Pump t'► te Local Wa Li INSPECTION DATE INSPECTION DATE Kit. Sink Loc Dran t � t �� / ��� 6 Sink (other) Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets t** Violation notes on the reverse sidel