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HomeMy WebLinkAbout0029718-Plumbing (abandon laterals) ~ CITY OF OSHKOSH N2 29718 PERMIT - APPLICATION AND RECOR D ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ C? _ ~~B~~ ~I~~ _~ _ ~O_N~N_G _ _ _ _ _ _ _F~~~D_ ~~I~ _ HEIGHT - - - - - - - - - - - - - ADDRESS IIIV /~~ PLA \I NO. OWNER ~ /l~ DESIGNER iZ~ 7 S 9'-0 USE/NATURE OF WORK '- BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupc ncy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss E TU'S ELECTRIC CONTRACTOR Electric Serv. New 0 Change 0 Temp 0 Type_ Volts _ Amps_ Fixtures Switches Receptacles Circuits -.. PLUMBING CONTRACTOR v71~ _BT _WH _Disp _ WSoft _ CBasin _Lav _Sh _DW _DF _San. Sewe _WC _FDr _SP _Ur _ Storm Sew r _Sink _LTub _ Eject _SS _ Water Other / FEES: Valuation $ ~,() () Permit Fee Paid $ /0 . 19 6 V Park Dedic ation $ ISSUED BY ~ Date ij//W2-- Final/O.P. / I' In the performance of this work I agree to perform all work pursuant to rules governing the described co nstruction. SIGNATURE ~~ ~~~ AGENT/OWNER DATE ADDRESS TELEPHONE # , - #- ADDRESS OWNER &Annu: SAN smw ioiAn:R PLtJ!IBING PEIU<<T APPLICAnON ~ IW:E . 7 // ~ Jil '2- PLmmu. / V U OF f.lOIUC NEfl .$ -1-0 REI' AIR REUY DAm msncnOR DAn: tJ · 7'jIy ,:,#M, ~W,!o~.pL ~ ' ~ '~.-. #- ~. o vl/~ ** Violation notes on the reverse sid.ij Im!:RIOR # Bathtub Lava to Toilet: leit. Sink Sink(other tv te heater Floor Drain Laundry Tu Dis osal Dishwasher PE , T# '?77/~ . '~-"i Ii . #