HomeMy WebLinkAbout1992-Plumbing (kitchen sink) �
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� CITY OF OSHKOSH N° 31978 '
` PERMIT - APPLICATION AND RECORD �
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TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT
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ADDRESS PLAN NO.
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OWNER
DESIGNER §
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USE/NATURE OF WORK � � `� � :
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BUILDING CONTRACTOR `
Size Sq. Ft. # Rooms # Stories Height i
Foundation Class of Const. Occupancy Permit °
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HEATING CONTRACTOR
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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 �
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� PLUMBING CONTRACTOR � � �
—BT —WH —Disp —WSoft —CBasin ;
—Lav —Sh —DW —DF —San. Sewer �
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—WC —FDr —SP —Ur —Storm Sewer :
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�Sink —LTub —Eject —SS —Water �
Other ;:
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FEES: Valuation $ �S�' ° d Permit Fee Paid $ �� ' d � Park Dedication $ ;
ISSUED BY � Date l� � s � Final/O.P.��' ���- 9�! �
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction. e
SIGNATURE ��ti��'��ti� /6�Lc.y�.1.� � �S' 9�Z
ENT/OWNER DAT
ADDRESS �D �J `� /�' ��S ���x.r , �i� ��/y.J`�� �/`t��b'3�—z 2 Yl �
TELEPHONE#
PLDl�Z1�C PEB1�II't APPLZCA?ION
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OWNER � 9" �'
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NATflRE QF W� � - � ' --s
xEPAIR I1Q'lERIOB
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`: �ATER Bathtub Su Pu
Lavato E'ector
'let Water Softener
ON II�SpL'GZION DA� F3t. Siak � Drinkin Fountain
� Siak other
e ter Slo Sink '
� r��S� � �- e se r
E Floor Drain Local Waste
Laundry Tu Site Drain
Dis osal Laundr Stand i e '
Dishwasher Catch Basin
** V+olatinn �*•n on the reverae eide