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HomeMy WebLinkAbout1994-Plumbing (city sewer & water - outside) �/ � CITY OF OSHKOSH N° 3 942 PERMIT - APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG� SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - �; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS S�b �- C PLAN NO. OWNER 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 �CJ`���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 $ �'� � � Permit Fee Paid $ � � - `� � Park Dedication $ ISSUED BY Date � -3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. � � ' SIGNATURE L� - ---"� � A�EN�/OWNER DATE / ADDRESS "' TELEPHONE� PLDi�II�C: PEB1�II? APPLIC.LZZON �6� : anaaESS S�o Z-�� � �°/?�5'� �a�r# _��9 y�. ow�a ps.��t � rrA� oF W � S'�-Gte' — � .� x� �ay a�x n��oa aN � # # 'vJATER Bathtub Su Pu Lavato E'ector Toilet Water Softener 0!� DA1E INSPECLZOIQ DA1E 1Cit• Siak Drinkin Fountain rs 1� r b 7 �3 siakcoeher . / 1 W te he ter Slo Sink e se Tra Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ** Violatioa note� on tts rever�e side