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HomeMy WebLinkAbout0026407-Plumbing (replace fixtures) /� CITY OF OSHKOSH N° 26407 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - : ADDRESS � \ "' ` PLAN NO. OWNER G� DESIGNER USE/NATURE OF WORK �"� r 4'" /L-� G`� � fJ 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 PLUMBING CONTRACTOR �� �BT _WH _Disp _WSoft _CBasin � �Lav _Sh _DW _DF _San. Sewer �WC �FDr _SP _Ur _Storm Sewer f �Sink _LTub —Eject —SS _Water Other � FEES: Valuation $ ��d� • � a Permit Fee Paid $ �� '� d Park Dedication $ ISSUED BY �� Date �� - � � �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � � �' �--s�:� Il �- AGENT/OWNER � ATE 1 � ADDRESS I�<� ��::a.�:..5 -�i"� �� G�' ` �".� ���-aE%�(k . _ u TELEPHONE N � PLUI�ING PERMIT APPLICaTION ADDRESS ��/ �c f' "� DATE `� ' �? � �� PERMIT�� � � SLC� OWNER C , PLTJI�ER !� ��� NATURE OF WORK I ` � y� < <L-�-c.c ! �-�, �� .�c� -. /�.c�-� 4�- ? - �) � , NE�� LAY PAIR INTERIOR SAN SEW �� �� WATER / Bathtub Catch Basin / Lavato Grease Trap Toilet I Sum Pum INSPECTION DATE INSPECTZON DATE / Kit. Sink Local Waste ,, �C� _ r- Sink(other) Site Drain !v �� �'�' j Shower Laundry S tand Pipe �� �., � �._ ��; Floor Drain Laund Tra � �- Dis osal Wat. Softner ����,� r� j � - � Dishwasher D. Fountain . Water Heater Ejector 'nals Future outlets � cc� � / �:�'—' ** Violation notes on the reverse side � ��g ����y., o.,�. � � ����� ��