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HomeMy WebLinkAbout0006685-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 06685 TYPE: BLDG D HTG D ELEC D PLBG g SIGN D ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER 8"'0 {' I-/e,~ r¡~ ~ c/ Co ¡;pù/¿ KZ:c! PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK se--r .Lle, a/ZA / ( A/?-..L ~~~,4~-v~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class ot Const. HEATING CONTRACTOR Heat D NC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New D Change D Temp D Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR :Tðlms~~/e- _BT _WH _Sh _Disp DW _WSoft _WC _FDr _LTub -SP _Eject _Ur - CBasin --/-- San. sewer-Lr"V-c. + Storm Sewer~f'?vL /[4 -I-- Water . r"/,Y"'A _Lav _DF _Sink Other -SS I . FEES: Valuation $ ??"óZ)~ Permit Fee Paid $ 2S-crr¡ ¡ ISSUED BY ;t<:A ./"rrrr~ Date /2/~ 'I /~ Park Dedication $ Final/O.P. ---- In the pertormance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE J- r- J~J DATE ADDRESS I ! ,~ TELEPHONE #