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HomeMy WebLinkAbout0034013-Plumbing (interior) �� � CITY OF OSHKOSH N°_ 34013 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS � �� ` PLAN NO. OWNER � . � DESIGNER USE/NATURE OF WORK � V S F � ` BUILDING CONT'RACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S i ELECTRIC CONTRACTOR * Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �BT �WH �Disp —WSoft CBasin � �Lav 1 Sh � DW _DF San. Sewer yWC �FDr � SP —Ur Storm Sewer �Sink �. LTub Eject —S —Water Other � ! ��f� S^b � FEES: Valuation $ s/O d . C7 � Permit Fee Paid $ �� � � � Park Dedication $ ISSUED BY � Date 'S °�a �-� Final/O.P. ,LD�I7I�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE 5-�- � 3 AGENT/OWNER DATE ADDRESS : TELEPHONE# ' � � , �/� � � �PL�INC PER1�? APPLIC�TZON ° �iDDRESS �G ''1� DATg ���3 � T# _��n/'� OWNEB � � PLUl�LB \' I � � . NATUBE OF WORR NL[+T RE7.AY AIR INTERIOR �'/o � SAN SETJ � # �JATER Bathtub Sum Pu S$� Lavatc Ej ector Toilet Water Softener P ON INSPEL'iZ01Q DATE Kit. Siak % Drinkin Fountain (/� C� �/Vo _ � . �/,� 1- Siak(ottier . W te heater / Slo Sink � I �/� � e se Tra Floor Drain � Local Waste j , 1 ^ �� cf/L � Laundry Tu Site Drain ���� Dis osal Laundr Stand i e � / Dishwasher Catch Basin -r �/� 7i , , . , ** Violaticn net�. on th rever�e eide �