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HomeMy WebLinkAbout0006686-Plumbing (laterals) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N!~ 06686 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- OWNER gn 7 ~ r?'7~""{/ /,' ~6eY^-4 ~C/t PLAN NO. ADDRESS DESIGNER ú~e..v- LA./ð~~~ I It- ç ~/'//1 " 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 E~ECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type- Volts- Amps- Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR \fí~,\,);; ~ _BT _WH -Sh _Disp _DW _WSoft _DF -CBasin + San. sewer~r<I'VC + Storm Sewer -2-' ¡::> t/ c.. t--- Water / 4 "'{f'&- _Lav _WC _FDr -SP _Ur _Sink _LTub _Eject _SS Other ) ç:::;, ""'" =< -031 vi FEES: Valuation $ au?'> Permit Fee Paid $ $- ISSUED BY ~-~ Date /0'2.-/29,47 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 I?<- rJ:-£ «:"~T~O~ DATE ADDRESS TELEPHONE #