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HomeMy WebLinkAbout0027047-Plumbing (addn to #18648) CITY OF OSHKOSH N°_ 27047 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG / 15 SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS 2 gs 0 gi PLAN NO. / / OWNER 6 a = -4--t� i - DESIGNER USE /NATURE OF WORK `' -- &i„. i_e_e_,frtt_e7.4-6 /2 b f4s7 , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C El Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change El Temp El Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ( " J BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink e _L LTub Eject SS Water 1 Other 3 FEES: Valuation $ 3 O d • b _Permit Fee Paid $ / 0 • 0 0 Park Dedication $ ISSUED BY Date / ^ L v 7 Z— Final /O.P. /d ` .3/ 1/ In the performance of this work 1 agree to perform all work pursuant to rules governing the described construction. SIGNATURE . C----u—z y • ( -- 24'11— AGENT/OWNER DATE ADDRESS TELEPHONE # i 1 PLUMBING PERMIT APPLICATION ADDRESS ©0 DATE /- 3 / 2/ PERMIT# 2- .70 OWNER �r c ` -%`` 2 ' -`� PLUMBER . NATURE OF WORK / - - i' i "_,----L--t."-z-Z--' /! S NEW RELAY REPAIR INTERIOR - SAN SEW I # # WATER Bathtub Catch Basin STORM SEW' Lavatory I Grease Trap Toilet I Sump Pump ,INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste /&- _ 3 �, � / Sink(other) Site Drain Shower Laundry Stand Pipe , Floor Drain / Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector , Urinals Future outlets I Violation notes on the reverse side] #, i