HomeMy WebLinkAbout1994-Plumbing (abandon)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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39571
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ADDRESS
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PLAN NO.
OWNER
DESIGNER
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USE/NATURE OF WORK
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
Fixtures
New 0 Change 0 Temp 0
Type- Volts- Amps-
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
If
~
_BT
_WH
_Sh
_Disp
_OW
_WSoft
_OF
-CBasin
~
_Lav
_WC
_FOr
_LTub
-SP
-Ur
- San. Sewer
- Storm Sewer
_Sink
Other
_Eject
_SS
_Water
FEES: Valuation $ / fi- ð . C ð
ISSUED BY #
Permit Fee Paid $
Date
/6. 0 (') ./
)P~y
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 ~ {ì~-i;:;:" ~P'æ~ðj>.f~
AGENT/OWNER
ADDRESS [('7"..21" .J14 d
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DATE
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TELEPHONE #
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