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HomeMy WebLinkAbout0019614-Plumbing (interior) CITY OF OSHKOSH N° 19614 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG K SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS ' 830 As /Fi PLAN NO. OWNER g fit Ph' S'r'f{ D I- E K DESIGNER � J , USE /NATURE OF WORK /tied() S f 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 M Ri) - Cam" R 6S-S - F A14 Dec /9 �. I-- BT / WH 1- Disp WSoft CBasin Z Lav Sh / DW DF San. Sewer Z WC / FDr SP Ur Storm Sewer I_ Sink LTub Eject SS Water Other I1CW S' Tt!N1 d &PC l3r"K f'Z FEES: Valuation $ i 99 ° ° _ Permit Fee Paid $ 2.0 0 / Park Dedication $ 6= -Q " ISSUED BY - �^' Date `. Final /O.P. /6 -//- 9 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /' 1 SIGNATURE 'WA) S,<T,f /if 6 3.?? A , j / r AGENT /OWNE ' DATE ADDRESS S. S • /v/ l/if) l of /F1 f TELEPHONE # PLUMBING PERMIT APPLICATION a .3 ADDRESS 0 66ie2 Z-' e / DATE ? /�(o ,C? PERMIT# /96/5 - OWNER _= PLUMBER ��-' NATURE OF WORK /t.IZc,u SF NEW RELAY REPAIR INTERIOR SAN SEW # # WATER athtub / Catch Basin STORM SEW avatory 1/ Grease Trap J4/Toilet // / Sump Pump INSPECTION DATE INSPECTION DATE /►tit. Sink Local Waste �`� � Sink(other) Site Drain &a) ©/K 7/• Shower / / aundry Stand Pipe _ � / /t/Floor Drain / aundry Tray R -7 6 & " 9 - 26 /s/ / Disposal Wat. Softner p tI "//7,0 / / /Dishwasher D. Fountain .r-,;,, , / A/(4ater Heater Ejector Urinals _Future outlets b FP,,-,, L i. j0, 30 ki / cy Vie • I** Violation notes on the reverse side