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HomeMy WebLinkAbout0040794-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD fCu/ N!-40794 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ L? _ ~~E~ _ L? _ ~~B~ ;( ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /J~' ~/j~ _;:> " . _ I 10->0 ~-~ Ii ~--c7'-..I ::J C"~..' PLAN NO. ADDRESS OWNER DESIGNER USE/NATURE OF WORK .#2 r - {J> -"~ ~ft 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_ Circuits .. Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH K ~ '" _WC _FOr _ L Tub _Ur _ CBasin -L San. Sewer -L Storm Sewer -L Water ~ _Lav _Sh _Disp _OW _SP _ WSoft _OF _Sink Other _ Eject _SS Vlj~ rIle /~ FEES: Valuation $ ISSUED BY tOO' (J~. c 0 ~~ Permit Fee Paid $ Date / 30...'00 j 7/27/7> }C- / / 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 ~W (J~ ~r/'C&33~( AGENT/OWNER ADDRESS g'cyc;Jy .s-:4!:.-:j ~ ~~......t> 7- t? 7- 9<JP' DATE '$Yf /fC: S1? --,-.Jp ? r TELEPHONE # ADDRESS OWNER. NAnnu!: SAN- SEW IJATER NSPECTION DAn: 5/Nfr5 RltI.AY msncnOlf tJ//j? Y DAn: '/;1 () ff'O . (b **Viola~ion no~es on the ~eve~se,ide~ Ycrr )LO /;7YC # Sum Pu Ej ector Water Softener Drinkin Fountain