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Home My WebLink About0039425-Plumbing (interior) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N! ~c) 39425 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG w( SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - ~ ;-- - ~ - - - - - - -- - -. - - - - - - - - - - - - - - -- - - - - - - - - - - - - - ADDRESS .3 (:) ?&- /~ I' ~ PLAN NO. S~~~~~/h~ ' OWNER DESIGNER USE/NATURE OF WORK Als r ~ ~re7 BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. I 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 3. BT LWH LLav 1Sh ~ WC L FDr -.-L SP L Sink _ L Tub . -#- _ Ei.ect Other /-f'cltl~~r _ WSoft _DF _Ur _ CBasin _San. Sewer _ Storm Sewer _SS _ Water FEES: Valuation $ ISSUED BY ,/,.,5"'-1::, a . 0 0 W Permit Fee Paid $ ( r 'IC.' y7 7~, c~.. 0 ,/ s7/ 3/,9 Y / . / ' Park Dedication $ Final/O.P. Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE .---7~ ~ /? I I? .:#- t:;; A- r- CI r/ /3 I "7y DATE AGENT/OWNER ADDRESS TELEPHONE # y/o ~ '??y;z:r f/y .1; ON DAtE DATE msncnOR ~/ J~ R \ ~&-G/ro p:tj~r7Y \J ~ :~f:bll e "-'J I ~ (1 3"5 ~/ [) W \J ~ ftif ~..:f J;~ 7/g t.A. ~ --<::>~ ** Violaeiqft notes Oft the ~everse sidel,