HomeMy WebLinkAbout041395 - Plumbing (total plumbing repipe ) PLUMBING PERMIT APPLICATION .
/ /' 7- �a� DATE . g PE CT# . W 32 5-
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OWNER �/1/ c- ,c�.-eT. PLumBER _ ..,`a---
NATURE OF WORK '1 6 *c_.„..Y., ..--p—e
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NEW RELAY REPAIR INTERIO
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SAN SEW # #
WATER 3- Bathtub / Sump Pump
STORM SECT o7-- Lavatory Ejector
]–Toilet Water Softener
INSPECTION DATE INSPECTION DATE / Kit. Sink Drinking Fountain
Sink(other) Urinal
Waterheater Slop Sink
• Shower Grease Trap .
Floor Drain Local Waste
Laundry Tub Site Drain
Disposal / Laundry Standpipe
Dishwasher Catch Basin
_
** Violation notes on the reverse side
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4i) CITY OF OSHKOSH N° 41395
PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG fitl SIGN ❑ ZONING FLOOD PLAIN HEIGHT
ADDRESS / 7/7 Ll PLAN NO.
OWNER /!/ -fC _..i..-c-c_ .'--k_
DESIGNER
USE/NATURE OF WORK t 6"Y -, /L-`'
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BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ NC ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR 6 ''-'c- '- "--`-
,2"-BT _WH Disp WSoft CBasin -7,./----'
2Lav Sh DW DF —San. Sewer
2WC FDr ±SP _Ur —Storm Sewer
L Sink ttb/9C W Eject SS Water
Other
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FEES: Valuation $ °Z Permit Fee Paid $ 3 6 - o G Park Dedication $
ISSUED BY ��/ Date ��}�7t Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE &b.:ae A �?_?
GENT/OWNER �� tATE
ADDRESS_ 7 4.11, ()et/ rA 6Lk. i", ,5 '--51/6 %
TELEPHONE#