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HomeMy WebLinkAbout0007991-Plumbing (interior) CITY OF OSHKOSH N°_ 07991 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG,SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS .J �/ _` ,/______ . PLAN NO. OWNER DESIGNER r USE /NATURE OF WORK ' —, _ ` _ ` „ r_ rar AI 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 ____4 juct j 6%..._ PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other -- !t • ' .49.-- - (. ..r% FEES: Valuation $/ v Permit Fee Paid $ I Park Dedication $ ISSUED BY ter/" Date 6 / 5 _ Final /O.P. In the performance of this ork I agree to perform all work pursuant to rules governing the described construction. SIGNATURE Ai.�, / L iP(0 ()'— 577/d AGENT /OWNER TE ADDRESS TELEPHONE # t 9 y PLU PERMIT APPLICATIO ADDRESS ($ i ty DATE 67/6 / PERMIT# ©2 7"?/ OWNER 0 l G ^ d f �i� ° PLUMBER A �:.. , 7 ∎a't i 41 _ NATURE OF WORK . c► 1# N E WI j RELAY REPAIR INTERIOR SAN SEW 1/it j # 1 # WATER [ 1 '; Bathtub Catch Basin STORM SEW. 1,1h , °! Lavatory Grease Trap f Toilet Sump Pump INSPECTION a =DA TE INSPECTION "a DATE Kit. Sink Local Waste 1 Sink(other) Site Drain ' , Shower Laundry Stand Pipe Floor Drain Laundry Tray 1 ; Disposal Wat. Softner Dishwasher D. Fountain g � A "- 1 g Water Heater Ejector lij Urinals Future outlets ( i 1 1 aZ ^ cc ,_. / `7;- C .1, J** Violation notes on the reverse sidel Lt,I