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HomeMy WebLinkAbout0009493-Plumbing (cap laterals) � CITY OF OSHKOSH No 09493 �' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG�' SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : ADDRESS l ` PLAN NO. OWNER v�- � G DESIGNER USE/NATURE OF WORK �-�-- G'�'� � . BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit � HEATING CONTRACTOR Fi�at ❑ 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 _BT —WH —Disp —WSoft —CBasin _Lav —Sh —DW —DF —San. Sewer —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS —Water � . Other �� �� ��^ /��� / �' ��� FEES: Valuation $ ��7� Permit Fee Paid $ Park Dedication $ � /� ISSUED BY_� �'�" �,?-a�-� Date Final/O. �/ �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. C�1 G%��A4 `l�C� SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE# PLUI�ING PERMIT APPLICATIO T ADDRESS DATE PERMIT�� � � pWNE R - u ����? LUI�E�. �lII��zti»-�e NATURE OF WORK � c�z NEW LAY REPAIR INTERIOR SAN SEW � � �k WATER Bathtub Catch Basin � Lavator Grease Trap Toilet , Sum Pum ZNSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain �� /� �/� �/ay� Shower Laundry Stand Pipe v � /" Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector 'n ls Future outlets ** Violation notes on the reverse side �