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HomeMy WebLinkAbout0031845-Plumbing (laterals) CITY OF OSHKOSH N°_ 31845 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGJW SIGN ❑ ZO ING FLOOD PLAIN HEIGHT ADDRESS 2 Sd / W j'v PLAN NO. OWNER )( .*---.---, d DESIGNER 6.4 ....-e..--c, 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 K f!/ BT _ WH _ D _ WSoft _ CBasin Lav _ Sh DW DF _L San. Sewer K P✓ c WC _ FDr _ SP _ Ur _ Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ 9 ©• 6 d Permit Fee Paid �' • © c $ Park Dedication $ ISSUED BY Date /-VV ,'L Final /O.P In the performance of this work I agree to perform all work pursuant to rules governing the described construction. rN / SIGNATURE , j,� l-1 —��"" / j 6 c.- 3J / AGENT /OWN' "Of DATE / ADDRESS d , - C , _,', y ,. i.x_._ 1 / ��/C3 4 TELEPHONE # INC PERMIT APPLICATION ADDRESS 2S-6 W /� DATE I _- 3 9 -1- PERIIT# 3 l e K-c-- , ! OWNER , PLDlBEB NATURE OF WORT► 1 - _-(2.-e----, '" RELAY REPAIR INTERIOR 1 WATER Bathtub Sump Puma STORM SEW _��� Lavatory Ejector Toilet Water Softener I1PECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain GC)4? / Sink(other) urinal Waterheater Slop Sink ‘04:--y , .Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe ,Dishwasher Catch Basin ** Violation notes on the reverse side]