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HomeMy WebLinkAbout0001398-Plumbing (interior) ~ CITY OF OSHKOSH N!! PERMIT - APPLICATION AND RECORD 01398 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - -- .- - - - - - - - - ~ - - - - - - - - - - - - - - - - ~ - "w ~ _ _ _ '~ -~' _ _ _ _ _ _ _ _ _ _ _ _ OWNER /q(O I-Ia t jyct/t-/ jJO/?"'7/1/11: r (~/Ic c>~ PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK " P/~lA/ ~e /t;~.,;;( PJ /~ j ~ . , / BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 NC 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 PLUMBING CONTRACTOR 1BT ~WH ----1- Lav -L Sh ~WC -LFDr -1- Sink _ L Tub L) 0i--1./"t: j2~( _Disp _ WSoft _ CBasin ~DW _DF _ San. Sewer --t-SP _Ur _ Storm Sewer _ Eject _SS _ Water Other FEES, Val"aUoo ~S-OO. 06 ISSUED BY ~ c57.r--/ tY Permit Fee Paid $ 3 0 ~ ~ Date 9' 1/9 /J?f Park Dedication $ Final/O.P. q - J.3 - ~<;.,. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ jJ.~~ fi ~fi- AGENT/OWNER tl/i/Tt; DATE ADDRESS TELEPHONE #