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HomeMy WebLinkAbout0035548-Plumbing (relay water service) �4� � CITY OF OSHKOSH N°- 35548 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��� " " p � / �/7 PLAN NO. OWNER �-s� � DESIGNER . USE/NATURE OF WORK � 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 —Sink _LTub _Eject _SS � Water �� Other � FEES: Valuation $ �� C � � �� Permit Fee Paid $ ����'� b Park Dedication $ ISSUED BY `� Date�����1� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ��Z�=v� �� '�/�°S p3�'1�� �r.-�'– � 3 AGENT/OWNER DATE ADDRESS � Y � y ,S � ` p � � Cr � �i�., G�, �,d' 3 y' 7�r– TELEPHONE� �o/ PLDI�II�G PEBMI? APPLICs1TI0N anaaESS �� ��� na� Z z �'-� �a�z� 3.�.s�y� ��$ "��� �"`� PLDlIDL'8 - /�/ NATIIBE OF WORY �z.-��c— NE[1 BEPAIR INTERI08 AN SEW # # . �A�R Ba�� Sum Pu Lat►atc Ej ector Toilet Water Softener � �� �� INSPE�TIOIQ DA� Rit• slnk Drinkin Fountain ���y�/�.c�� ��p �,ti� ��-�- S iak(o ther ' � W te heater Slo Sink e se Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e - Dishwasher Catch Basin ** Violatien ner.. � tt�s reverse aide