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HomeMy WebLinkAbout0040903-Plumbing (connect drain & water) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD >>'0 N!!-40903 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E? _ C? _ ~~B~ If!. ~IG~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ADDRESS > C> 7 s;j ~ PLAN NO. OWNER ~ 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 Electric Servo New 0 Change 0 Temp 0 Type Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR a- _BT _WH _Sh _FOr _ L Tub _ WSoft _ CBasin ~ _OW _OF _ San. Sewer ,., _SP _Ur _ Storm Sewer _ Eject _SS _ Water _Lav _WC _Sink Other ISSUED BY n~~ 0 d ~~ Permit Fee Paid $ Date Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ri~ 14 lb~~~<i~. ~ f'6"2b P<:>\.RRS 5"'(" O.srl~Sff. tJ;r' , Sl-f~~ I 8/3f1~ . DATE "'23r-~~/{ ~R TELEPHONE # ADDRESS