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HomeMy WebLinkAbout0041115-Plumbing (interior) /� CITY OF OSHKOSH N- 41115 4' PERMIT -- APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Af SIGN ❑ ZONING FLOOD PLAIN HEIGHT 3 X l ADDRESS 5--7 PLAN NO. / / OWNER ' 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 ✓ ___ �— BT WH Disp — WSoft — CBasin s %6G Lav Sh DW _ DF — San. Sewer / �WC _L FDr _L SP — Ur — Storm Sewer .1_ Sink J_ Lib �G _ Eject — SS — Water Other 0 ® ..©cam . © o FEES: Valuation $ 3 � Permit Fee Paid $ O Park Dedication $ ISSUED BY Date g// 5 Final /O.P. - a 1 - c ri In the performance of this work I agree to perform I work pursuant to rules governing the described construction. SIGNATURE J r AGENT /OWNER DATE ADDRESS �J 4, , C/e.„/17 ryd J 730 - alc $ TELEPHONE # / / r' a u '' PERMIT APPLICATION ADDRESS -34r ,�j " - ," DATT S 7`� / / /`� OWNER , r / r PERMIT#. PLUMBER S NATURE of won /// /1-- " �, f l U so NEW RELAY REPAIR INTERIOR T WATER # Bathtub ( Sump Pump I • ■ y 3- Lavato Ejector INSPECTION .2 Toilet Water Softener DATE INSPECTION DATE ( ;Kit. Sink j Drinkin Q Fountain 3 `i if /F17 ' Sink(other) Urinal t Waterheater J Slop Sink t Shower ,' '�... 4/./2 Grease Trap / Floor Drain I Local Waste Laundry Tub Site Drain Disposal , i Laundry Standpipe I r -- 7 a/ 1 S I Dishwasher i Cat h 4,asin . 1J42-4: k g 3 (4 G- c its eif *- alaaEion notes on the reverse side j . ,. ` �/ / ,c T v �Q ' l e: ) fr, / N ` �� ( (/ y