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HomeMy WebLinkAbout0027453-Plumbing CITY OF OSHKOSH N2 27453 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG gr SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 9 0 7 S PLAN NO. OWNER / A. DESIGNER USE /NATURE OF WORK 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 frKer-/( G..) BT WH Disp WSoft CBasin Lav _t Sh DW DF San. Sewer J WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ L 0 • ° 0 Per mit Fee Paid l.� • o o • $ Park Dedication $ ISSUED BY CO Date — ' K - 7 2--- Final /O.P. 3 - 5 — 9 a In the performance of th's w. rk I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� 2 - 2 9,_ AGENT /OWNER DATE ADDRESS TELEPHONE # PL I, ANC PER CT APPLICATION ADDRESS, /2 ©9 3 . / - DATE / 3/ 9 - 2 - PERMIT* g--7 f�s3 OWNER A , _ �— c NATDRE OF won NEU RELAY REPAIR _ INTERIOR ;AN SEW # # W 1 - Bathtub SrDRM SEW Sum. Pu Lavatory Ejector / Toilet / _ Water Softener INSP ECTION D AB INSPECTION DATE Kit. Sink Drinking Fountain vl & / j / Sink(other) Urinal ��77 Waterheater Slop Sink ii p — / Shower / Grease TraD Floor Drain Local Waste F 3 - .S ./&)a,' , Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on till reverse side]