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HomeMy WebLinkAbout0018651-Plumbing (interior) CITY OF OSHKOSH N9 18651 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG g SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS /3/0 / G'j✓ PLAN NO. OWNER 6 Pn 4.— DESIGNER USE /NATURE OF WORK %-r 5 f ,' 1 °/ /r //sled 'Z 1 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 (..,‘ Au!) BT 1 WH 1 Disp WSoft CBasin '°° Lav Sh 4 DW DF San. Sewer WC FDr ± SP Ur Storm Sewer Sink ___L. L Eject SS Water Other /3 >1 /% FEES: Valuation $ 33 C Permit Fee Paid $ SA all Park Dedication $ ISSUED BY Date ' 9 io / d Final /O.P. (�- 4 4 / In the performance of this work I agree to perform all work pursuan::o rules governing the described construction. SIGNATURE 0 ck l t. ~ (� Z r r 2 `�r Q c 2 S q AGENT /OWNER DATE ADDRESS TELEPHONE # PLUMBING PERMIT APPLICATION ADDRESS —L3 DATE — �---- PERMIT # _4(57 OWNER Al. , PLUMBER Ar •- NATURE OF WORK / _ – NEW RELAY REPAIR SAN SEW - �I® INTERIOR WATER # SEW r - - =© � a av atto / = Catch Basin ao = Grease Tra. ©Toilet // -, Sum. Pump / NSPECTION DATE INSPECTION DATE n r Local Waste �/( co,..- e /�� ,�s� Laundry Stan. �Sink(other) - Site Drain f4 5;4544d /Shower / pipe, G � ter ,, =Floor Drain Laundr Tray Disposal f y r D. tnr 6 , Dishwasher D D, Founun tain n F /� = Ejector e;... e 7 ` L 00 - Future outlets ** Violation notes on reverse side