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HomeMy WebLinkAboutPlumbing (additional fixtures) CITY OF OSHKOSH N° 29493 n PERMIT - APPUCATION AND RECORD � TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG � SIGN ❑ ZONING FLOOD PLAIN HEIGHT ADDRESS " " ' i �i j "S" (.J ,2s--i..�—u�.� _ " " _ ' _ _ _ " _ " "P LAN NO. " ' _ " " " OWNER S ��'�� -- DESIGNER L USE,'NATURE OF WORK r '^� � �' /—�'� '��' O'$'�y BUILDING CONTFACTOR - Size Sq. Ft. # Raoms_ # Stories Height Founda�ion _ Class of Cons�. Occupancy Permi�_.. HEATING CONTRACTOR Heat ❑ A�'C ❑ Vent ❑ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Eledric Serv. New ❑ Change ❑ Temp ❑ Type _ Volts_— Amps— FixNres — Switches Receptacles_ Circui�s PLU�ABING CONTRACTOR z ._BT �WH —Disp .—WSoh CBasin w�� Lav Sh DW DF ___San. Sewer WC --FDr SP Ur Storm Sewer Sink LTub Eect SS Water Other f � , 8 0 FEES: Valuation $ �'�q�•� � Permit Fee Paid $ � Park Dedication $ issueo ev �^-� y�-�`�' oa�e_ a — .�6 —s'�- F��euo.P. �—/`/ ._i � In the pertormance of ihis work I agree �o perform all work pursuant to mles goveming the described consVuction. / \ SIGNATURE_/ � � . . __ ___ `�' a6 AGENT�OWNEF DRTE ADDRESS 1E�EVHONE x pyDlglNG pyBMIS APPLIGSLON ADDRE53 / u� .S� S . � '� / � , DA2E � � � � Y£ffi1ITI ��`�-/% >' OIiNEB � .� 'c,,.-F z_r i �� PLDiIDER :iAi9RE OF 410BR l . 1 i- ./- l,� � 1 '`!! - % — NER RELAY 9EPAIA IN'�HI08 y� A # ;�p�g Batheub Sum Pu Laoatu Ejeceor 'foilet Wa[er Sofeener pN psa IpgpECllp�( pp8 Rit. Sink Drinkin Fountain Sialc(othnr _ � �� . , _ W ee hea[er Slo Sink e se T a Floor Drain Local Was[e � Laundry 'Cu Si[e Drain Dis osal Laundr Stand i e Dishwasher Catch Basin *� Oiolatioe netee on rhe reoerea �ide �