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HomeMy WebLinkAbout0015631-Plumbing (sewer & water) � CITY OF OSHKOSH N° 15631 `' PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 2�Z� !� /l7 �� PLAN NO. OWNER 9� /it�-� -Q�� -P--�� i DESIGNER USE/NATURE OF WORK -��1��/�� � ��/'�/h-���-- 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 PI UMRING C'(�NTRA('TOR�g � '���,_ —BT WH —Disp —WSoft CBasin —Lav —Sh DW DF �San. Sewer ��Oti� WC FDr —SP —Ur Storm Sewer . u —Sink _LTub Eject SS �Water �ov»-�'- Other / o*� da FEES: Valuation $ (. ��� Permit Fee Paid $ � Park Dedication $ ISSUED BY�� ��_� Date��",,����T Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described constiuction. SIGNATURE O'C T� ���t� '�'1 /"� S 6 3! n2-S /��E�" �Y AGENT/OWNER DATE ADDRESS TELEPHONE# : ��Ua...�r� �'�2�f��., f U.��<�('J �LUMBING PERMIT APPLICATION : ADDRESS o( 7`0� y �/.!'j��/,22CTG— a DATE y �5 � � � PERMIT �k /�6,5�� � � �p C�' � OWNER PLiJMBER � Q� �' NATURE OF WORK aG�� �- Y�'`�,. � ,. �J���� � � �°a.-�`2� NEW RELAY REPAIR INTERIOR SAN SEW �k �� WATER athtub Gatch Basin STORM SEW avato Grease Tra Toilet Sump Pum NSPECTION DATE; INSPECTION DATE Kit Sink Local Waste 5ink(other) Site Drain Shower Laundry tan pipe Floor Drain Laundry Tray Disposal Wat. So tner Dishwasher D. Fountain Wa.��r Heater Ejector' Urinals Future outlets ** Violation notes on reverse side