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HomeMy WebLinkAbout0020998-Plumbing (bathroom remodel) � CITY OF OSHKOSH N° 20998 PERMIT - APP ICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS /�S � PLAN NO. OWNER 'l ^/ � DESIGNER �1 �' USE/NATURE OF WORK 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 ELECT�RIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �'�� —BT —WH —Dis _WSoft _CBasin � 1 Lav �Sh _DW _DF _San. Sewer rWC _FDr _.SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other FEES: Valuation $ �p``�°< �v Permit Fee Paid $ ��' ` o � /? Park Dedication $ ISSUED BY_ `�-� ��-�i Date `�'�� 9��� 2'�'•" ! Final/O.P. n� In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � �Z � �� AGENT/ WNER DA E ADDRESS TELEPHONE# PLIJI�BING PERMIT APPLICATION ADDRESS DATE "'� "- � PERMIT�� Z���� � OWNE R PL��1�ffi�R - NATURE OF WORK . NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER Bathtub eatch Basin gEW ✓ Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste �' / Sink(other) Site Drain -,�! �-�-`^/J� Shower Laundry Stand Pipe f�y' Floor Drain Laund Tra Dis osal Wat. Softner � l ���� Dishwasher D. Fountain Water Heater Ejector 'nals Future outlets ** Violation notes on the reverse side '