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0042658-Plumbing (interior)
Y;/Z} ~ N~ 42658 ~ TYPE' 8LDG 0 HTG 0 ELEC 0 PlBG JfJ SIGN 0 ZONING FLOOD PLAIN HEIG~ ~~~~E~~ - - -:; ~;~ ~ :; - - ;:; - - - - u- - -; - - - - - - - - - - - - ~~~ ~~- - - - - - - - - - - (~ ~ ....<2 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD OWNER DESIGNER /f/~~ Of+-- k4 rt7 USE/NATURE OF WORK 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 e ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type Volts Amps_ Fixtures Switches Receptacles Circuits c:r ~ PLUMBING CONTRACTOR .~ ~BT &H "X-Oisp ~Lav _Sh ~W 3, wc 'P' FOr 1--SP 7-;:. "1_ ~Sink ~-I;:fUb/Jc.W _Eject Other f~ f _ WSoft _OF _ CBasin ~ --,-- Ur _SS _ San. Sewer _ Storm Sewer _ Water ?9oo-0 C) FEES: Valuation $ , ~ - Permit Fee Paid $ Date /" ~ 5i Qo 60/' ~ .:;;> ~ Park Dedication $ I' ~ 79 j6 FineVO.P. I ' ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE / / jJY/W' DATE ADDRESS TELEPHONE # --- ** Violation notes on the reverse side( l'EBHIT# ADDRESS ).. V.s-~ OWNER NAnnu!: SAN SEll iJAIER i SPEC'rICN DAIE INSP!:C'nCN DAD: R) f/I! 3/'+- Jys$?--:r>TF4WC /';;NL~ / gt/2V $rfS ---- F ~ cfl-j7s-