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HomeMy WebLinkAbout0025830-Plumbing � CITY OF OSHKOSH N° 25830 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � � � • � 11—tra-�C��. 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 � 1l I �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 $ l 7 G°,° � ,, Permit Fee Paid $ �'Z' � � Park Dedication $ ISSUED BY t"� Date �� ^��O — �� Finat/O.P. ' In the performance of is work I agree to perform all work pursuant to rules governing the described construction. SIGNATUR ` �a �� -� � AGENT/O DATE ADDRESS ` , ..-lS�Z2� c TELEPHONE# i � ,] �G.1,. PLZJI�ffiING PERMIT APPLICATZON ADDRESS "— / � �--z= �tti DATE '� - /5^-�/ PERMIT�� ���3 0 OWNER "�� �e ' PLiJMBER � ��-�� NATURE OF WORK ����-�'��'=--� � �-��,�.z � NEW RELAY REPAIR INTERIOR � SAN SEW � WATER �� � / Bathtub eatch Basin Lavato Grease Trap ' / Toilet I Sum Pum INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste `�'_ Sink(other) Site Drain � � `'' � � Shower Laundry S tand Pipe Floor Drain Laund Tra Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector inals Future outlets �-- ** Violation notes on the reverse side