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HomeMy WebLinkAbout0035160-Plumbing (laterals) Yo/M CITY OF OSHKOSH N° 35160 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG, SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS g Z I P - • PLAN NO. °8 OWNER DESIGNER USE /NATURE OF WORK g l' -A 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 p Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR -g W'' BT — WH Disp WSoft CBasin Lav _ Sh _ DW _ DF _ San. Sewer — WC — FDr SP Ur Storm Sewer __Sink LTub ,r / "6_,--c \ , `, Eject SS L Water Other FEES: Valuation $ 7 0 0 0 © Permit Fee Paid $ i ° ' 0 ° ../ Park Dedication $ ISSUED BY ..-/ Date ��/ 2. Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE—AA-4(4j ft LL y� ' s 0 13 6 -2_ ? -. ?J - 93 AGENT /OWNER l ' / k DATE CC ADDRESS g �)A? W l." 'U A I) tz Os , .233 TELEPHONE # I PLUMBING PERMIT APPLICATION ADDRESS, g3/ PCB- „-�r.� DATE '/ " Ply _ PERMIT$ , OWNER ,; _ _ ._ : , _ ' _4. / PLUMBER 6 £= 2 x j NATURE OF WORK / I sc-e•- / 11 -‹ _ , NEW RELAY REPAIR INTERIOR SAN SEW # # WATER q Bathtub Sum. Pu m STORM SEW. Lavatory Ejector Toilet Water Softener INSPECTION DATE INSPECTION DATE Kit. Sink Drinking Fountain .� Sink(other) • / ; - Waterheater Slop Sink Shower Grease Trap Floor Drain Local Waste $ ) 'b� ?A) Laundry Tub Site Drain (° i t1, Disposal Laundry Standpipe J 1 Dishw skier �� , �,,,,� Catch Basin i -_ T s --' _ _„ = � — ailla C y ** Violation notes on the reverse side] 3l 3 / ! --,,! aA