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HomeMy WebLinkAbout0017547-Plumbing (interior) 40) CITY OF OSHKOSH N° 17547 - PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG X SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS / 3.. nim/'^C PLAN NO. OWNER , / // L 4 DESIGNER /�,� USE /NATURE OF WORK LL / � p' -- - oz_,,4 Arz2 L 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 S /1 - PI f� ( / BT _L WH Disp WSoft CBasin 1/ Lav Sh 4_ DW DF San. Sewer IL WC FDr SP Ur / Storm Sewer . 7 Sink _i_ - LTub Eject SS L Water /7 ti r-ria.oi— Other / lawl. .,, t� f 002.7 � (, / r FEES: Valuation $ // U Permit Fee Paid $ Park Dedication $ ISSUED BY cT71 Date ,..54 Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ." SIGNATURE _ i IP ' ' ENT /OWNER .2 DATE ADDRESS TELEPHONE # _ - PLUMBING PERMIT APPLICATION f ./ ADDREBS I ©� .�t D TE PERMIT�� "5 � 7 OWDiE LUMBER -S C1� R �:�. A; NAtURE OF WORK NEW RELAY REPAIR INTERIOR S , SEW — ® W TER — y II t • ; S - - - ® Bathtub r. — - -/� Lava tor Catch Basin / Grease Trap INSPECTION DATE INSPECTION DATE Toile Sum. Pum. Aril ' Local Waste Sink(other)pl - Site Drain r Shower Laundry Stand Pipe /> Floor Drain 115111Laund Tra / r Dis.osal/ - Wat. Softner Q Dishwasher/ III1D. Fountain = ! Ejector Future outlets ** Violatio notes on the reverse s . • e ' �� ././4.46,1- "�'`� ?)(01 . 4.2- Pceoy. ' ar .z t r , • S�rC Oc..�4r4 f 1%3 M t> ------, ,-.., , , L , , ,,,,....,"- ..„ ---- ,,,,,,,,,„ "1,. • 1'''' • , ., ' 1 \ 1 M ' t s .., ■ , ‘, L N . s ) 4 \ r 1 . . , , \A . . .