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HomeMy WebLinkAbout0032425-Plumbing (city rehab) �/� � CITY OF OSHKOSH N° 32425 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ^ � � T ADDRESS � /V � v PLAN NO. .—� OWNER �� "'�' �--z� DESIGNER ♦ 1 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 f 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 � C�� / FEES: Valuation $ �1 �5�� b � Permit Fee Paid $ � 'L ` � � Park Dedication $ ISSUED BY � Date l l � �� Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE l� AGENT/OWNER ATE � ADDRESS O �J v �Z � �, �3�C�V TELEPHONE� . � � �,I � ,�L�ZNG PER�SI'� APPLIC.ITION i/�� �� ' � aDDRESS � �- � � C P�ffi'Q?� �. �� �'."�F ._. � ( �_ � -3�I �" � �- � � . .; � . �_:-a --j - ; OWNEB �� !11 .� �Z�-F z z� � _ i���--�..�_�-�-� -,: .- .� �I�+� ,� - • - - - 1 _.m � NATQttE OF �TORR �' —`'��� �.—�' i�-�� /�• -�-��-�� �/ NLR�_ RE ' BEPAIR ���INIERIOx SAN S'ES�T � # �JATER Bathtub Su Pu Lavato Ejector Toilet Water Softener ��YS ECTION DATE INSPECtI0I4 DA� Rit. Sink Drinkin Fountain Siak(other I�� (�.� � � � � � W te he ter Slo Sink '�' � ease Tra � Floor Drain /� Local Waste / , � � Laundry Tu Site Drain Dis osal Laundr Stand i e ' � � � Dishwasher Catch Basin � � S c�-�� /ii/� .z�� "�.- � , � � h/h� � ** Violation note�_ on the reverse side � ,. /� � !�G���y 0 l/(,/ i ,, ,,_,.� �. .��..,_._ _ T __ �_