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0044479-Plumbing (laterals)
(t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~o/ N! 44479 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG Af SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - ~ - - -(.~/ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS (1? if s;> 4t c. ~ PLAN NO. OWNER J)~ ~ :::::REOFWORK ~F - 0 ~ rc1 BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR t:ieat D AlC 0 Vent 0 FueVSystem Heat Loss BTU'S ELEdTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts _ Amps_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR Fo-yC \) E _ WSoft _ CBasin L--- _DF ---L- San. Sewer VtPJC _Ur _ Storm Sewer _SS L Water I ~ _BT _WH _Sh _FDr _ L Tub _Disp _DW _SP _Lav _WC _Sink Other _ Eject FEES: Valuation $ ISSUED BY 306 ,00 ~ Permit Fee Paid $ Date // .62-0 ~ <:) 0 Y /' Park Dedication $ ~ // ~hs- Final/O.P. I / In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE r2/P~ 17/9 perrri M/'CN,J PI'. ~~r5r 9.2t: .r tJ ? S ~ ADDRESS TELEPHONE # tNC P!1HI"r APPLICATION . ?LOt' Dm: 1/9/5's- PERKtT# tfYCV?:7 PL1lIIBE1 . r"?'-, V ~ € ~ ADDRESS OWNER NAnmJ!: /IIsr~ 0' REI.AY REPAIR SAN SEW iJA'I!R DA'I! SPEcnON ~ ~ ~ 3If/~~ >/ W (/tp.s- #370 ** Violation notes on the ~eve~se sidel IN'l'ZIIOB. # Bathtub L.avato Toilet Kit. Sink Sink(other w te heater # Floor Drain Laundry Tu Dis osal Dishwasher