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HomeMy WebLinkAbout0008011-Plumbing (storm sewer & catch basins) � CITY OF OSHKOSH N° 08011 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG �SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ��7�� /!�° ���� PLAN NO. OWNER n/ �-��`�--�;v1/1�� 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 ELEC�RIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps f Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR —BT _WH � p _WSoft �CBasin —Lav _Sh DW DF _San. Sewer —WC _FDr _SP _Ur �Storm Sewer ���v� —Sink _LTub —Eject —SS _Water Other / rr-• � FEES: Valuation $�/�?f Permit Fee Paid $ "�— Park Dedication $ ISSUED BY���e�-�/ Date " Final/O.P. !( �� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE�o�/ ��/�-c-e.�`7 F���• _ _�/�,�y� AGEN / WNER DATE - ADDRESS TELEPHONE# LUI�'BING PERMIT APPLICATION ADDRESS � Cr� /"c� '�'��%�Gt,r . DATE � -�- Ul PERMIT# D� � � OWNER '� - � �� � PLiJ1��R � �U� � NATURE OF WORK __� /s � �� �i��t ��.c,�� G'��-2�lB�s�i,.:� NEW RELAY REPAIR INTERIOR SAN SEW �p ��. ` WATER Bathtub Catch Basin ORM SEW L Lavator Grease Trap Toilet ! Sum Pum INSPECTZON DATE INSPECTION DATE Kit. Sink � Local Waste Sink(other) Site Drain � 9�at/�"jj Shower Laundry S tand Pipe F1oor Drain Laundr Tray Dis osal Wat. Softner Dishwasher D. Fountain Water Heater Ejector rinals Future outlets ** Violation notes on the reverse side