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HomeMy WebLinkAbout0042729-Plumbing CITY OF OSHKOSH N 42729 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /3/ 1 PLAN NO. OWNER 6 DESIGNER ` Y,------/ USE /NATURE OF WORK / " L. 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 ./a- - BT — WH _ Disp _ WSoft _ CBasin Lav J Sh _ DW — DF _ San. Sewer WC _ FDr _ SP _ Ur — Storm Sewer — Sink _ LTub _ Eject — SS — Water Other FEES: Valuation $ fs?)0 - ©a Permit Fee Paid / `'- – a3 $ Park Dedication $ ISSUED BY _ Date //4 -� Final /O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR R 1 x-2- - l4 AG NT /OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION 5!- ADDRESS /3t0 /IX, -,, DATE . � _ PEBXZT# . 5 ,-- 9 OWNER '� f - i _ „' �M is P .!„/ NATURE OF W -' L 4 C NEW RELAY REPAIR INTERIOR SAN SEW r WATER # STORM SEW Sump Pump 1 Lavatory Ej ector ;�. 0 19 • [-mills Water Softener DA INSPE ON DATE Lit. Drinkin• Fountain Sink ether Uri nal i 7//`S Waterheater Slop Sink Shower Grease Tran Floor Drain Local Waste Laundry Tub Site Drain Disposal Laundry Standpipe Dishwasher Catch Basin ** Violation notes on the reverse side(