HomeMy WebLinkAbout0017455-Plumbing (laterals) 1 „
® 1 CITY OF OSHKOSH ,
N2 17455
PERMIT - APPLICATION AND RECORD
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TYPE: BLDG 0 HTG [1] ELEC [ PLBG g SIGN ID ZONING FLOOD PLAIN HEIGHT
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ADDRESS 4 --ZYCO /1167-2 4- -- PLAN NO.
OWNER
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DESIGNER
USE/NATURE OF WORK ---S c-k"-- CA2 2 4 / 1.-- - Z e■C , . : Z
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories " Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat Ei A/C El Vent 0 Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New El Change El Temp LI Type Volts Amps
Fixtures Switches Receptacles Circuits
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PLUMBING CONTRACTOR / _eV
BT WH Disp WSoft ;CBasin
Lav ; Sh DW DF _./San. Sewer
WC FDr SP Ur Storm Sewer
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Sink , LTub Eject SS _k Water 1
Other
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FEES: Valuation $ 7560-6
Permit Fee Paid $ 20 er6 I/ Park Dedication $
ISSUED BY 4, fif___ Date - 3 Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE ?_____ - — .. es 3 '3 5 --- * --.- /
AGENT/OWNER
DATE
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ADDRESS , 1
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ti TELEPHONE #
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2W1) Z ' PLUMBING PERMIT 'APPLICATION ■
ADDRESS DATE PERM � k �7��
OWNER �i'l 7 rl PLUMBER /1/ - `<;,
NATURE OF W ORK �� "
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NEW RELAY REPAIR INTERIOR}
SAN SEW " # #
WATER 4 Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet 0 Sump Pump
INSPECTION DATE INSPECTION DATE Kit Sink Local Waste
Sink(other) Site Drain
A
Shower Laundry Stand pipe
3/� Floor Drain Laundry Tray
Wat. Softner
Disposal
A � D. Fountain
G Wa.ter Heater Ejector
f 9 f Urinals Future outlets
** Violation notes on reverse side
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