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HomeMy WebLinkAbout0028739-Plumbing (replace fixtures) � _ CITY OF OSHKOSH N°_ 28739 PERMIT APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS__ ��I c� 1— • I o.���,I�C PLAN NO. OWNER _ �C'x •� ��C� Pr,.a r� DESIGNER USE/NATURE OF WORK �,V r- . L t;t.11 c� �,rt.t J BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height 1' 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 ���a--w�.�y,�t..r�-t./� � x BT �WH _Disp _WSoft _CBasin w �Lav _Sh _DW _DF _San. Sewer X WC _FDr _SP _Ur _Storm Sewer —Sink _LTub _Eject _SS _Water Other FEES: Valuation $ �9�y - 9� Permit Fee Paid $�� �� Park Dedication $ ISSUED BY_ �� Date_ � l'z �0�9 � FinaUO.P. In the perfor this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE " AGENT/OWNER DATE ADDRESS \ TELEPHONE#` \ PL II�G PLR�? APPLIC.LTION PiDDBESS /�a/� £ /✓.� DATl: �/�,// � PEffi�IT# '���3� Ob1N� � PL�L'8 -�����-Z-fl-n-✓ ' NATflSE OF GTCR� / ` -=-��z- � AIR INTERI08 # � �JA R Bathtub Sum Pu Lavato E'ector Toi et Water Softener ON . �A1E INSPL'CTIOR DA� Rit. Siak Drinkin Fountain � �L siak cther • � W e he ter Slo Sink G ease Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ►� -r/��`.�':�.,�.�-�` ** Violation net•_. on th rever�e �ide