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HomeMy WebLinkAbout0040781-Plumbing (floor drain & clothes washer) ��� CITY OF OSHKOSH N°- 40781 � PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS ��� — I I �I��1�1�Qll.T C�� PLAN NO. OWNER ���(]Ll ' ' 1C �1.�—l�� : DESiGNER USE/NATURE OF WORK � °F' � • • x BUILDING CON7RACTOR A 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 Fi�ures Switches Receptacles Circuits PLUMBING CONTRACTOR ��d�,0[�S _BT —WH _Disp —WSoft —CBasin ��'�/ % _Lav —Sh _DW —DF —San. Sewer _ WC 7'FDr _SP —Ur —Storm Sewer —Sink �L� �}C� —Eject —SS —Water Other FEES: Valuation $ 1�0�,� Permit Fee Paid $ � � - � � P rk Dedicatjon $ ISSUED BY �'�� Date �' ��/� Final/O.P. ��� In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE �'`- -- �y AGENT/OWNER DATE ADDRESS TEIEPHONE N �C� Ui�I1�G PLBffi? APpLZC�2I0N �inD�ss -�a� ' C�?�` �� -_.�-� � � �arQr� �b 78/ OWNEB �~— e �-'°�''``" PLIII'�L8 � ''"" NATt�QE OF WOR� C'' �� NEGT REI�AY BEPAIR INTEBZOH AN # # �ATER Bathtub Su Pu �d=to Ej ector Toilet Water Softener pN DA1g IpSPECTIpN Dp� Rit. Sialc Drinkin Fountain Siak(oeher -.� � W te heater Slo Sink �r^ ` � �� G ease Tra � Floor Drain Local Waste ) q Laundry Tu Site Drain � �j / s /� Dis osal Laundr Stand i e Dishwasher �atch Basin . �)�e r,� - -�� � �-) ����- � ** 'de � Violatson notea on the rever�e �L �