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HomeMy WebLinkAbout0035694-Plumbing (laterals) f/ CITY OF OSHKOSH N2 35694 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG Ar SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 2- / `/4- PLAN NO. OWNER DESIGNER USE /NATURE OF WORK 4/-5 F - Q -------- if- 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 Fcl a E /% - BT _ WH Disp V ' WSoft CBasin c Q — Lav _ Sh _ DW DF 4 San. Sewer V I) C — WC _ FDr _ SP _ Ur Storm Sewer Sink _ LTub Eject SS Water Other . 0 0 FEES: Valuation $ ° © • () 0 Permit Fee Paid $ 2.-6 Park Dedication $ ISSUED BY Date � Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � / / ' / �.,(� AGENT /OWNER / � ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION •,/ ADDRESS r a / S 417-1---"C-0--Q OWNER C i -' , - , , . � S3 PER MIT# 3 S P f -AK-du 1, �: �� NATURE of WORE S - : - 0 %� � � ��� � = REPAIR • � I RI08 WATER e • ■ A ■ ' - - - � Bathtub # Sum. Pu 4 - -IN Lavato Ejector � site ON • Tai let Water Softener DATE - Rit. Sink __V ,) 2 / - S other Drinkin • Fountain � /i/ MEI W. t - he-ter Mill .. - Slo. Sink Mill j Floor Drain e.se Tra. Q () Laundry Tu. Local Waste Site Drain am Dis.osal Laundr Stand.i.e - Iiii Dishwasher Catch Basin girt •i • • i • d