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HomeMy WebLinkAbout0042657-Plumbing (interior) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD V/6 N!! 42657 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG tf SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - -n - - - - - - - - - - - - - - - - r- - - - /7 - - / - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS )L.-. V S".5""' ~ ..2 )/..$--7 rb-&~~ PLAN NO. 3~7~ OWNER DESIGNER USE/NATURE OF WORK /l/' ~ LfLr /~ ~--...~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR I Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR :::r ~ Z-rBT _~H k Disp tf Lav _ Sh 2::-ow Y-WC bDr ~P Csink ~-Hob/JCW _Eject ,- l!27.R '7: tl' WSoft _ CBasin / _Ur _ San. Sewer _ Storm Sewer _ Water _OF _SS Other FEES: Valuation $ ;;>..5"OO..Co> (] ISSUED BY ,/;/c::;;?' ~ ;2-'r? 'r ~ t -G / f;'/10 c>./ Permit Fee Paid $ ~ ~5 Date /' ~ / f?Y::- ( I ' Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. /ff /7;J J' Z- 11//;1/0/ DATE ADDRESS TELEPHONE # SPECTIoON // ~ntC 6~ (!/' PERMIT# V;< 4: ..r 7 ADDRESS OWER NA'l'tlR! OF WOlUt NEtl DAn: INSPEC'rION DATE ~ \ 1Jco r s/J-->)7S ** Violation notes on the reverse side(