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HomeMy WebLinkAbout0037021-Plumbing (interior) a CITY OF OSHKOSH No 37021 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A] SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS r6 PLAN NO. OWNER --- G--4--/ --€ DESIGNER �/ USE /NATURE OF WORK // S� - �' /' 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 s , � /Z / PLUMBING CONTRACTOR BT WH / Disp WSoft CBasin - -- 3 Lav Sh / DW DF San. Sewer 3 WC / FDr 3 SP Ur Storm Sewer _L Sink ._ IAib AC .) Eject SS Water Other ma ✓ 3 a © . c*, FEES: Valuation $ 9 Permit Fee Paid $ ,6 O 0 Park Dedication $ ISSUED BY Date ` j / -/9- Final /O.P. 11'02 3 93 In the performance of this work I agree to perfor all work pursuant to rules governing the described construction. SIGNATURE �.,-._ ,r i / K - � / AGENT /OW NEER DATE ADDRESS �� 0 /2- g!�/e 1/t �� L'1," - VC 93o TELEPHONE # fcp ING PERMIT APPLICATION ADDRESS °? • , if r DATL � . . 3 3 70,2-/ OWNER EMIT. NATQRE of won 4 - _ /_ / NEW RELAY REPAIR / I TIERIOR SAN SEAT # 'ATER / Bathtub i STORM SEW Lavatory f ► I Sump Pump / Ejector 3 Toilet //1 Water Softener IMUCTION DATE INSPECTION DATE / lit. Sink / Drinkin g Fountain !O 47 Sink(other) Urinal / Waterheater / Slop Sink k l Il r ,Shower /1 Grease Trap Floor Drainj Local Waste r 3 /13 Laundry Tub Site Drain r I Disposal Q / Laundry Standpipe / 4 (1,64,42e6L4 v±o.lrnA,Atte, ? / Dishwasher/ Catch Basin , ' (21441/1„fl ** Violation notes on the reverse side j