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HomeMy WebLinkAbout0027291-Plumbing (laterals for addition) /� CITY OF OSHKOSH N° 27291 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � �����-C-'�-e `'�L� PLAN NO. OWNER `�� ��) � DESIGNER sr -�,��-� �� 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 � v� _BT _WH Disp —WSoft CBasin G�! —Lav _Sh _DW _DF �San. Sewer � + u' G —WC —FDr SP —Ur �Storm Sewer �� � U G —Sink _LTub —Eject —SS —Water Other —� � FEES: Valuation $���5��� � Permit Fee Paid $ �� ' � � Park Dedication $ ISSUED BY� � Date �- �� -9� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR � � , � °� r L `�� ` �Z : AG NT/O N R DATE � ADDRESS TELEPHONE A �- 7�9/ PLiJMBING PERMIT APPLICATION A)1RESS DATE � �' ^-/ � �- %ry rERMIT�� OWNER � `� PLiJMBER -^ � �-�-�-�� NATURE OF WORK �, � � /����-� f�-�-�� ' C� � NEW RELAY REPAIR INTERIOR i saN sEw G � �� WATER Bathtub Catch Basin � VC Lavato Grease Trap Toilet Sum Pu INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste „ Sink(other) Site Drain G�}�O ,G�-�� Shower Laundry S tand Pipe / Floor Drain Laund Tra `� - Dis osal Wat. Softner Dishwasher D. Fountain Water Heater E�ector � Z- ' als Future outlets / � - __ �� , � •/ � � ** V'olation otes on the reverse side