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HomeMy WebLinkAbout0040795-Plumbing (lateral) . . '>"'-'-'--~"'~--:-':--------c-""-'--'-'-~'-":i-----"'''''''--_-~___'-''<~-''-:--- '-cc._.....:~---~'cc'::--_--..:~:'7--:-'--- (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD }L'O/ N!!-40795 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG)tl SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N7:~ - - - - - - - - ~ ~-; ~; -~7- iL~ - - - - - - - - - - ~~~ ~~- - - - - - - - - - - USE/NATURE OF WORK t/~ ,~ /if"':> r - CJ~ F~ ;/ DESIGNER BUILDING CONTRACTOR Size Foundation Sq, Ft. # Rooms # Stories Class of Const; Height Occupancy Permit HEATING CONTRACTOR Heat 0 AlC 0 Vent 0 Fuel/System Heat . Loss BTU'S ELECTRIC CONTRACTOR .l>c Electric Servo New 0 Change 0 Temp 0 Type Volts_ Amps_ Circuits Fixtures Switches Receptacles r-. PLUMBING CONTRACTOR //~~ _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin ---1- San. Sewer --'- Storm Sewer -L Water ~ _WC _Ur ~/Jc vrfJC I~ _Lav _Sink Other _ Eject _SS FEES: Valuation $ I' OS-d.. c 0 Permit Fee Paid $ Date / %6 C10J '. Park Dedication $ Final/O.P. 7P7//Y / / / ISSUED BY k~~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ ~rt:- ::;?~~ 055 ~ AGENT/OWNER ADDRESS ~c/lf' :;U~ c.sft, Lv ~ r~ >d-.?.-9r DATE S---$-"'?d"~ . S7.). -39 ..?S- TELEPHONE # ADDRESS OWNER NATtm! PEmaT APPLICAnON ~~;1 ~ PEIlIlITI v 0 ("" ~0770 SAN SEto1 iJAttB. I OR DAn: (; I () ~(). ,.~ ** Violation notes on the;:-everse sidel