HomeMy WebLinkAbout1995-Plumbing (standpipe; tub)
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N~ - 43370
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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ADDRESS I Lj ~ 5 'Î..J .2! f'Ö'(Luc
OWNERMlu ~ JDh(ì')(}{ì
PLAN NO.
DESIGNER
USE/NATURE OF WORK ~ )1\:'1+0 QiQ.d
JCì1U'í\Ýlt -bill
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BUILDING CONTRACTOR
Size Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo New 0 Change 0 Temp 0
Type - Volts - Amps-
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR "RO.l)ffill M.o. n
_BT
_WH
_Sh
_DiSp
_DW
_WSoft
_DF
- CBasin
- San. Sewer
L
_Lav
_WC
_FDr -SP _Ur
LLTub. ~ - -SS
1- !Ie h/ Þ¡f -^-
- Storm Sewer
_Sink
Other
_Water
FEES: Valuation $ 3ßD,CO
ISSUED BY /?~
I
J()(bj
Permit Fee Paid $ ~ :9
Date //C;/ S-
f
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE--d -
ADDRESS
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AGENT/OWNER
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, DATE
TELEPHONE'