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HomeMy WebLinkAbout0031126-Plumbing ~ CITY OF OSHKOSH N~ 31126 PERMIT - APPLICATION AND RECORD TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - -. - - - - - - - - - - - - - ;;- - - /1- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS / II 7 ~ L.II/ PLAN NO. OWNER f:r- ~ ~ E DESIGNER t1b?t<-~ry USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. 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 PLUMBING CONTRACTOR Y-BT -1'WH YLav ~Sh -y- WC --L FOr :t--Sink -L LTub 111~ FEES: Valuation $ .:5" d)-/:5:". 0 C ISSUED BY #- ~ Disp _ WSoft iDW _OF JsP _Ur _ Eject I ~.. );S - t ~ If c tJJ~ rv--: , I''',c SC o ere - c O---;:r; Dedication $ /0 ~ I -- 1 z-.. Final/O.P. _ CBasin j!9- _ San. Sewer _ Storm Sewer _ Water Other Permit Fee Paid $ Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ \ -k-. f' .. c=y AGENT/OWNER -1 (::l'- ( - :l-z.- DATE ADDRESS TELEPHONE # SP ON DAm Q~~5l-9- ~ c-- p~ ..A ' ~'r= 7/9 :::!~~: : tre:.~'~ 1'EIHI'r# 3 // ;2. ~ SAN SEW WATER INSPECTION DATE bfl:> :----