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1990-Plumbing (water closet)
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 18076 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS /c(ò7 (/1/ '?F// J?1/1/VLç s C~ 'Z'I 1 t :~ fl PLAN NO. OWNER DESIGNER USE/NATURE OF WORK Ýe.,,- ~ ~ <" t/ /~a.L ~~ C' ~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Ciass of Const. HEATING CONTRACTOR Heat 0 NC 0 Vent 0 Fuei/System Heat Loss BTU'S ELECTRiC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Voits- Amps- Fixtures Switches Receptacies Circuits PLUMBING CONTRACTOR r~ /"7/1/.:,,/' _BT _WH -Sh _Disp _DW ~ Î' ")9 <ý _WSoft _DF - CBasin - San. Sewer _Lav +WC _Sink _FDr _SP -Ur - Storm Sewer - LTub _Eject -SS _Water Other FEES: Vaiuation $ ('7~ ISSUED BY ~¿--n?,,?~ I ~.! Permit Fee Paid $ If) Dat; --1'-/&=-9,;, , Park Dedication $ Finai/O.P. In the performance of this work I agree to perform all work pursuant to ruies governing the described construction. SIGNATURE --",Ž ~~r) /~~~-, ~ AGENT/OW R DATE ADDRESS TELEPHONE #