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HomeMy WebLinkAbout0024269-Plumbing (water softener) � CITY OF OSHKOSH N°_ 24269 �' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - -�- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � 3 �� PLAN NO. OWNER � DESIGNER USE/NATURE OF WORK � BUILDING CONT'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. Sewer —WC —FDr _SP Ur —Storm Sewer —Sink —LTub —Eject —SS —Water Other � : er_ FEES: Valuation $ 3�� ^ Permit Fee Paid $ l� ` � C' Park Dedication $ ISSUED BY �'�. Date � �� '–�� Final/O.P. In the performance of this wo I agree to perform all work pursuant to rules governing the described construction. � � � SIGNATURE � -�-* � ��� ��/ ENT/OWNER DATE ADDRESS TELEPHONE# � PLUMBING PERMIT APPLICATION ADDRESS_ 13d 1 ����15.�� DATE_ Z / PERMIT4� `'��''2�9 OWNER � ��H`�) �!>I�2Td.t� PLUMB�R �iL,l1i4-in Gf../�-��rr �oFT!/�z" NATURE OF WORK //1� S T.�Ll�Z�_`,�,,/�-j�ic ;SG3��►-,��� NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER Bathtub eatch Basin RM SEW Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste � Sink(other) Site Drain � �c-�� �`"��` 1� Shower Laundry Stand Pipe Floor Drain aundr Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector inals Future outlets s.. ** Violation notes on the reverse side �