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HomeMy WebLinkAbout0007045-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECOR N~ 07045 TYPE: BLDG D HTG D ELEC 0 PLBG"gr SIGN 0 ZONING FLOOD PLAIN HEIGHT ... ... ... ..., ... ... ... .. .. .. ... .. .. ... ... .. ... ... .. ... - .. .. .. '...- '... .. .. ...'... ... .. .. .. ... ... ... ... .. '... .. ... .... .... '- ... ... ... .. ... .. .. ... .. ... ... ... ... ... ... ... ... .. ... ... ... .. .. ADDRESS PLA NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupa cy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D NC D Vent 0 Fuel/System Heat Loss B U'S ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR -I-- BT -I- WH :3 Lav -I- Sh ::3 WC -I- FOr +Sink Other + Disp _ WSoft _ CBasin +DW _OF _ San. Sewer -I- SP _Ur _ Storm Sewe _SS _ Water FEES: Valuation $ ISSUED BY Pe,mil Fee Pa;d $ ~ Date ,/1 cl;f~ Final/O.P. Park Dedic tion $ - ~<6 ? In the performance of this work I agree to perform all work pursuant to rules governing the described co struction. SIGNATURE pZ. CoY-- tJ ~ - ~).. 2cF AGENT/OWNER DATE ADDRESS TELEPHONE # ".', """'_~""'~'h;=_'"~~~--=~~o.,._,-,~'" .'.o-;.>-'"'~_",_""'~=""''-:.'';-7'''''''''''''~'''"''''''~ _ J' - ADDRESS OWNER NATURE OF WORK DATE PLUMBER PERM T if (;) ?Ov:r;- NEW RELAY REPAIR INTERIOR iF iF SAN SEW HATER STORM SEW INSPECTION DATE INSPECTION p1.pe I.]: (A / ~ /,qr.rtcV! 1~!'Ie-", C7-v( I- ;(11-6 Lc L 'z!q!Ff ;fA ./ r 1/7/; on reverse side