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HomeMy WebLinkAbout0001789-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 01789 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG J2( SIGN 0 ZONING FLOOD PLAIN HEIGHT OWNER 17 X') c::Y rC~<-..7/ Cr:- ~~ Me/c. PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK t:~?~<./' ~l-<--J-c- /' 2 J-;c;.~ ~/l-?--A ~V BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Canst. 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 PLUMB.ING CONTRACTOR CL-/tl~ ~BT iWH iDisp ALav ~Sh -LDW ..2-WC ~ FDr -I- SP -L Sink -I- L'fob _ Eject Other _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _ Water _SS . FEES, ValuaUon $ <:::s::-lU2 ~ ~P.nn' Foe Paid $ 3J eE..-. v'~ ISSUED BY ~A";r:7_______ Date .,/' ~,~-9,. ' 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 ~ C3~. U4~~ $' C- 2- 2J? AGENT/OWNER DATE ADDRESS TELEPHONE #