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HomeMy WebLinkAbout0022018-Plumbing (interior) � CITY OF OSHKOSH N° 22018 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS --�q E ���� PLAN NO. OWNER �/�,�b4� �,c- ��1� : DESIGNER USE/NATURE OF WORK C1'6^� i T'Ccb-� L�/� / �?���A �+� � �i�LL ���6�2�L4�����1�� 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 PI I1MRWr C'(�NTRAC'T(�R � '�1�' 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 $ �5� Permit Fee Paid $�� Park Dedication $ ISSUED BY��� Date �'-- � — 9� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE �� '�"�� � �"'�"�'�� '►/�d v U �D3O 7 AGENT/OWNER DATE ADDRESS � O�� �12<�� j �/�=�G-(t� ��• .�.�J�/� �..� TELEPHONE# : --. � PLUMBING PERMIT,APPLICATION ADDRESS �337 �:� DATE � S S/ PERMIT�� �.� Ca /�' � 4�+1NER � ` �'^- ����' PLU1��R � ' �.�%li�.-�'�� � NATURE OF WORK G� _���.!z-����►� NEW LA REPAIR INTERI R SAN SEW �k �k WATER Bathtub eatch Basin �� S� / Lavato Grease Trap Toilet Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste � Sink(other) f Site Drain �.� , J����yl Shower Laundry Stand Pipe _ ' Floor Drain Laundr Tra � j,��_ j�- Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector rinals Future outlets / ** Violation notes on the reverse side �