HomeMy WebLinkAbout0040098-Plumbing
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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40098
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OWNER ~ ~ iJ ~J/
DESIGNER
USE/NATURE OF WORK
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
,
Heat 0 NC 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 K a2d ~
£BT 2- WH -.L Disp - WSoft
LLav ~Sh LDW _DF
1-wc -LFDr /2- SP _Ur
L Sink ~ L Tub ~ -,,- E~ect / - Z;~
Other /-I-('td ~rt>-/
- CBasin
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- San. Sewer
_Storm Sewer
_Water
FEES: Valuation $ /~{!J.l!i>?'SJ
ISSUED BY .&-
Permit Fee Paid $ if' fl. II) Q j
Date ~,//:>y
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Park Dedication $
Final/O.P. a?'dJ. 4. t:¡.cj
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE )~I'.w,:e ~
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AGENT/OWNER
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/ DME
ADDRESS 'J. 730 ¡J L.)(,øtJ<)u{J& (I
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7'S'\- 79~.l
TELEPHONE.