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HomeMy WebLinkAbout0038540-Plumbing (laterals) ' N2 38540 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG qf SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS J//2— • e // , /, PLAN NO. OWNER _ l DESIGNER A// USE /NATURE OF WORK 4/S r — I / BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent p Fuel /System Heat Loss BTU'S • ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR .4 C - tr- --&✓ - BT WH Disp WSoft CBasin ,/ 4' - Lav Sh DW DF 1 San. Sewer (Cie II C. WC FDr SP Ur Storm Sewer 0 C Sink LTub Eject SS __r! Water l Other FEES: Valuation $ f Sb 0 .. G Permit Fee Paid $ 3 Q © Q C ✓ Park Dedication $ ISSUED BY i / Date ` 't / / Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE_ .A� 0--e 5 3- /f ' e�Y AGENT /O WNER DATE ADDRESS / `� �- /� C ^ C / y p E..."2, 5 :3 , i - 7 5 ---- TELEPHONE TELEPHONE # j VIBE; PERMIT APPLICATION ADDRESS 3 ► DATE /v// RMIT# "--12 /r - OWNER � �" p e , I. ER NATURE OF WORE _s k - a . ,mw . NEW -RELAY REPAIR 4 ? R IOR SAN SEW 7 fi v C # # WATER / 6 .--r- Bathtub Sump Pump STORM SEW �V C Lavatory Ejector Toilet Water Softener INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain Sink(other) Urinal �ST Waterheater Slop Sink Shower Grease Trap Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe , Dishwasher Catch Basin ** Violation notes on the reverse side]