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HomeMy WebLinkAbout0007783-Plumbing (laterals) CITY OF OSHKOSH N°_ 07783 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBGSIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /C!A PLAN NO. OWNER (� !i LA il�G DESIGNER USE /NATURE OF WORK GG- 0 ,..4 • 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 Gr k __c—'` BT WH Disp WSoft CBasin Lav Sh DW DF 4 San. Sewer ! /7 1 .-- - z- WC FDr SP Ur 4 Storm Sewe /G Sink LTub Eject SS 7_ Water / " l4/n Other �" FEES: Valuation $ 3?) V Permit Fee Paid $ - � Park Dedication $ ISSUED BY c Date Final /O.P. ,/34 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �; v ' /0 6 ,..ci 4..1..e Z AGENT /OWNER DATE ADDRESS TELEPHONE # 40 3. f C 4 / IR NG PERMIT APPLICA I N ADDRESS _ . "iii -� /L DATE M/ PERMIT# 322 OWNER �!1.�5� PLUMBER \j ©�Y�" 7 j' , C.C..4.ie-1.-- NATURE OF WORK —tA-1 ci S1 / /NEW RELAY REPAIR INTERIOR SAN SEW I I I # # WATER P' Bathtub Catch Basin STORM SEW, 4/" Lavatory Grease Trap Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain �G �7$/� Shower Laundry Stand Pipe / Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets PI* Violation notes on the reverse side1