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HomeMy WebLinkAbout0028438-Plumbing (fire damage) � CITY OF OSHKOSH N°_ 28438 `' PERMIT — APPLICATION AND RECORD TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG SIGN ❑ ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS �� �� �� PLAN NO. OWNER S � DESIGNER , � ~ E USE/NATURE OF WORK ' I s t 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 � �BT �WH �Disp WSoft —CBasin � !Lav �Sh �DW —DF —San. Sewer 3 WC FDr �SP Ur —Storm Sewer �Sink �LT —Eject —SS Water Other ` �cli`- ! l- �CG`'l « � s� 7 � FEES: Valuation $ � s D o 4 , O O Permit Fee Paid $ 7� � `� � Park Dedication $ ISSUED BY �� Date 5 � Y Final/O.P. ���-�� In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE � ��b/ 9� � �` A EN NEF DATE ADDRESS TELEPHONE# � PLDI�IPi'+� PERMI? APPLICa1'ZON A.DDRESS � I I�1 � , u . DpTg ` - - PERISI?# � � y � OWNHB _��_<r �.�- � PL�ER � /�: .1ATURE OF GTORS -�-G �--�Z.z 2� �t=-�_=,_r.�<. .f �, � `"C-,� NEi� RELAY BEPAIR INTERIOH � AN SESJ � # �TATER Bathtub Sum Pu �Q$� - Lavato Ej ector ' Tailet Water Softener INSPEc. ON DATE INSPELZZOI� DA� / Rit. Sink ' Drinkin Fountain ,=. Siak(other � • ��- S/�� r W te heater / Slo Sink ., < � G ease Tra �������� f-- , .� - / -� Floor Drain Local Waste _��Y� �� / Laundry Tu _ Site Drain � �� �� � / Dis osal � / Laundr Stand i e � Dishwasher � Catch Basin 1= �`' �9 r �� , ) �.� �,-. l� S ��f.rf/�� � �/ ` 1 ' i• ati•n n�te� on the rever�e �ide � �� � - � r - � ;� ay �� :