HomeMy WebLinkAbout0037830-Plumbing
CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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37830
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DESIGNER ~ ~
USE/NATURE OF WORKJ <: F ~ ~ ~ fl 1/
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
HEATING CONTRACTOR
Heat D NC D Vent D Fuel/System
Heat Loss
BTU'S
..
ELECTRIC CONTRACTOR
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Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR ::r~ f~
:;2.-BT iWH ~DiSP _ CBasin ~;?
_ WSoft ~ .
.s- Lav ~Sh ~DW _OF _ San. Sewer
1wc ~FDr ~SP _Ur _ Storm Sewer
LSink -LJ,ffubI4CvJ _ Eject _SS _ Water
Other
FEES: Valuation $
ISSUED BY
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Permit Fee Paid $
Date
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Park Dedication $
Final/O.P. $. /;l .1,-/
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE~-4~B-'L2 O7f?2332-
I ENT/OWNER
ADDRESS .
1/,l()/7'1
DATE
TELEPHONE #
,'" . !'PLllMB NG PEllHIT APPI.ICA'!ION
ADDBESS .z s- ,;J 0 ~ AD 1/ /p/ 7' J
NArcu OF YotUC ,1/3 ,Fl<.' -
NEt~ RELAY EP AIR nOIl
~AN SEY #
~A'!ER
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