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HomeMy WebLinkAbout0024805-Plumbing (remove 1st floor kitchen sink) � CITY OF OSHKOSH N° 24805 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - -�p�- - - - F - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Q � ADDRESS �✓" a � PLAN NO. OWNER 0'�`'-��� DESIGNER � � St� USE/NATURE OF WORK �"� � . BUILDING CONI"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 � FEES: Valuation $ � � '�— ,permit Fee Paid $ �� ' � G Park Dedication $ ISSUED BY �� Date ��!'Z �� Final/O.P. :3'a� ;� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE g �� AGENT/OWNER ATE ADDRESS �32� �o�S -� ��- ���--*-� 1�(C 2'��-�(�yQ TELEPHONE# �f PLUIrBING PERMIT APPLICATION ADDRESS ��� � �T � DATE 3�i � �/ PERMIT�k � ���`�r OWNER �--���� PLUI� ,,� � C''�o � NATURE OF WORK .s�-c-z� �-l- �, c�t--� �. ''--- ' NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER Bathtub Catch Basin RM SEW � Lavator Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste Sink(other) Site Drain ��.�C �/ Shower Laundry Stand Pipe Floor Drain Laundr Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector rinals Future outlets ** Violation notes on the reverse side �