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HomeMy WebLinkAbout0009019-Plumbing (sewer & water) /� CITY OF OSHKOSH No 09019 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �/-��.a��� �E�.�6 �/ -� PLAN NO. OWNER �/����� DESIGNER USE/NATURE OF WORK �� BUILDING CON�"RACTOR 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 � —BT _WH _Disp —WSoft —CBasin —Lav —Sh —DW —DF �San. SewerT��C —WC —FDr —SP —Ur —Storm Sewer —Sink —LTub —Eject —SS �Water �2 �� l���/�L°�.� Other� . / �.a v�,__ FEES: Valuation $� ,� Permit Fee Paid $ Park Dedication $ ISSUED BY ������ Date � Final/O.P. In the performance of this work I agree to perform all work rsuant to rules governing the described construction. T,� SIGNATURE ����,�.► �'°� D� GENT/OWNER ` �/Q DATE V/ ADDRESS TELEPHONE!1 PLiJI�ING PERMIT APPLICATI N ADDRESS �..��—�'--�e.'•�- � L.G� GL_ DATE P T�� CJLC��/ OWNER f�-1�� PLU1��R I NATURE OF WORK ;S\L�C� NEW RELAY REPAIR INTERIOR SAN SEW �u � .� kATER Bathtub Catch Basin �M µ Lavato Grease Trap Toilet Sum Pu INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain ��� � / / / Shower Laundry Stand Pipe �� �// ( � �-� �!� Floor Drain Laund Tra � �- Dis osal Wat. Softner /� e���`� : � Dishwasher D. Fountain Water Heater Ejector : inals Future outlets : ** V'olat'on notes on the reverse side