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HomeMy WebLinkAbout0032646-Plumbing (replace water service) l C/ k /, CITY OF OSHKOSH N° 32646 � `' PERMIT - APPLICATION AND RECORD f TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ADDRESS �� G� —� � �� PLAN NO. OWNER � S G' DESIGNER USE/NATURE OF WORK �- l'L/L�C��— ���- �--^ ; BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ FueUSystem Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps , Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR � 1 `��y'"`" —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 $ �� t � � Park Dedication $ ISSUED BY � Date � —�C � � 3 Final/O.P. � In the performance of this work I agree to perform all work pursuant to rules governing the described construction. i SIGNATURE o� ��O � �� � AGENT/OWNER DATE ADDRESS TELEPHONE!f � • � f� PLII1�ZpC PEBI�? APPLICATION aDDRESS � 6 �'.�,c a DpTg �. " 3 _ <. �- PERffiT� ��-- 4"� � �- OWNEB � � Sc- -�--r-�r pyDl�Lrg �,(avcl �e f��t��:•a�. NATOBE OF WORR �' � ' ��' ;�.�e,;t_ ' r . ' NEi� REZAY ' BEPAIR INTERIOx AN SEW # # �TATER �'�� Bathttsb Sum Pu Lavato Ejector Toilet Water Softener P ON DATS INSPECIZON DATE Kit. Sink Drinkin Fountain � Siak(other • �t O 1-/3 W te heater Slo Sink e se Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e . Dishwasher Ca h Basin � � � � ;, �.�- � c � 7� - ** Violaticn note• on the reverse �ide ��`� n � n p