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HomeMy WebLinkAbout0021842-Plumbing (laterals) � _ CITY OF OSHKOSH N° 21842 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG ,� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - -i_- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �}" - - - - - - - - - - ADDRESS � �� � • f T� �,� PLAN NO. OWNER ��C" � ` DESIGNER USE/NATURE OF WORK /�•�-� � O � BUILDING CONTRACTOR 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 4 � PLUMBING CONTRACTOR � —BT —WH —Disp _WSoft _CBasin —Lav _Sh _DW _DF �San. Sewer �" �� C' —WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS ___�_Water � � �C�'-- Other FEES: Valuation $ � �a` c a Permit Fee Paid $ "L� '•�� � Park Dedication $ ISSUED BY �� Date �� �Z � Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / � - I 'Z -�� � AGEN R DATE ADDRESS TELEPHONE# PLUMBING PERMIT APPLICATION j-6'� �J ,' ADDRESS __ �� � l'"� ' � P�v-` ' DATE /_ �� 9� PERMIT �� "����� OW NE R �'c�-�X .S� �LO�s�- P LUMB E R s NATURE OF WORK �-�~�-i' � `" � � r � NEW RELAY REPAIR INTERIOR SAN SEW $� 11�- �� �k WATER ' u � athtub i Catch Basin STORM SEW �Lavator Grease Tra Toilet Sump Pump INSPECTION DATE INSPECTION DATE Kit Sink Local Waste ` / c��� Sink(other) Site Drain �/�'J � � �`�/ ��/v" Shower Laundry Stand pipe Floor Drain Laundry Tray Disposal Wat. Softner Dishwasher D. Fountain Water Heater Ejector Urinals Future outlets F^' Violation notes on reverse side