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HomeMy WebLinkAbout0041351-Plumbing (remodel) ..,~ ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Y/CJ N! - 41351 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ E? _ ~~B~;if. ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T. _ _ _ . ADDRESS ///..s- /f ~ PLAN NO. C~, W~ OWNER DESIGNER US8NATURE OF WORK ~7 t 1 LL ~ -~~ BUILDING CONTRACTOR l' Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. ,w. 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_ Fixtures Switches Receptacles Circuits PLUMBlrG CONTRACTOR #~ _BT _WH _Disp --1Lav _Sh _OW -Lwc _FOr Lsp -L Sink -L -r;me::!feu/' - Eject Other _ WSoft _OF _ CBasin ~ _Ur _ San. Sewer _ Storm Sewer _ Water _SS FEES: Valuation $...:$(j 0 C> . 0 d ~----- Permit Fee Paid $ Date Park Dedication $ Final/O.P. j' .j? . ~y ISSUED BY SI s governing the described construction. e3 ~G-<f?~ / DATE ADDRESS TELEPHONE # ADDRESS OWNER KA. .. SAN SEtJ iJAn:R PE cn ON REI.AY # DAm INSPECTION DAn: F {/377f ** Violation notes on. the reverse side1