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HomeMy WebLinkAbout0019612-Plumbing (interior)CITY OF OSHKOSH N° 19612 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC 0 PLBGX SIGN ❑ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS / 3 ✓ a /� SI d p l^- PLAN NO. OWNER J4vh 4- DESIGNER USE /NATURE OF WORK It-If a/ s BUILDING CONTRACTOR Size Foundation Sq. Ft # Rooms # Stories Height . 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 Fixtures Switches Receptacles Volts Amps Circuits PLUMBING CONTRACTOR L� Q /T /��S f A) a BT —L WH Disp WSoft CBasin Lav Sh t DW DF San. Sewer -, WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ ISSUED BY OG ,9©© !Lf ;4 - Kt. 60 Permit Fee Paid $_ Date t` 9-, o 0 7/zr-,l9 Park Dedication $ Final /O.P. 10 , ( -q2�> In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATU AGENT /OWNER 1 16—/ DATE TELEPHONE # �C ADDRESS 3s' P OWNER 4 NATURE OF WORK NF.W PLUMBING PERMIT APPLICATION 0—z— DATE 7 Zj S ,9,) PERMIT# 1,96"0'2-- PLUMBER z— w yi:fl RF.T.AV RRPATR TNTFRTnR SAN SEW # # WATER ;-- Bathtub Catch Basin ORM SEW Lavatory Grease Trap INSPECTION DATE NSPECTION DATE Toilet Sump Pump / jKit. Sink Local Waste y ��} I Sink(other) Site Drain Shower Laundry Stand Pipe Floor Drain Laundr Tra Disposal Wat. Softner / Dishwasher D. Fountain / Water Heater Ejector lUrinals Future outlets i ** Violation notes on the reverse side 9G °[-7