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HomeMy WebLinkAbout020164 - Plumbing (sewer/water) CITY OF OSHKOSH N2 20164 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG A SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS f i'6"/T V (2 - PLAN NO. OWNER DESIGNER USE/NATURE OF WORK S ...(2-e-c.-42ti- Gt> 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 c I / BT WH Disp WSof CBasin Lay Sh DW DF (/ San. Sewer y`, AA - WC FDr SP Ur Storm Sewer Sink LTub Eject SS Wate / Water Other FEES: Valuation $_ �0 d Permit Fee Paid $ ".d •c ISSUED BY 47--1i ��ec 4 Park Dedication $ Date d Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �' . �� / AGEN IDW g ER DATE ADDRESS— TELEPHONE# PLUMBING PERMIT APPLICATION ADDRESS / /f./.. /��‘'-''i DATE PERMIT# `"/01.- OWNER l �r z1 C r CYlL PLUMBER ../,',V1,1 J �,ryK 1 — NATURE OF WORK -ca-e-,/--' 7'l-r,,,, ---r--- NEW RELAY REPAIR INTERIOR SAN SEW <7'. # # WATER l' Bathtub Catch Basin Lavatory Grease Trap STORM SEW Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain j © Shower Laundry Stand Pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector f' - Urinals Future outlets , r I** Violation notes on the reverse side!