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HomeMy WebLinkAbout0018085-Plumbing � _ CITY OF OSHKOSH N° 18085 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS_ ���1�/ /�� PLAN NO. OWNER �/�.?',�f re,�� L�.'�/�.� DESIGNER USE/NATURE OF WORK C' BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height - Foundation Class of Const. Occupancy Permit ti 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 G'�–.� �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 $ -��v Permit Fee Paid $ `�s � Park Dedication $ ISSUED BY Date 1` '��1�/d Final/O.P. In the performance of th' work I a ree to perfo ork pursuant to rules governing the described construction. SIGNATURE / - � AGENT/OWNER DATE ADDRESS TELEPHONE# PLITMBING PERMIT APPLICATION ADDRESS _ �-� � � 7�� DATE 7 7 - �� PERMIT �k 1��/0 � OWNER � � PLiJMBER �?�S r�-- NATURE OF WORK <.e NEW RELAY REPAIR INTERIOR � SAN SEW �� �k W"ATER athtub Gatch Basin STORM SEW avator Grease Tra Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste J � Sink(other) Site Drain • �L�/��/�� l (it,�' ��',S'"�'��-�t� Shower Laundry Stan pipe � ff,a. �, Floor Drain Laundry Tray � � Disposal Wat. So tner /yl�'���,.,e Dishwasher D. Fountain Wa,�er Heater Ejector � Urinals Future outlets ** Violation notes on reverse side