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HomeMy WebLinkAbout0041556-Plumbing (lateral) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Y6/ Ng-41556 ADDRESS SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - -1' - /J - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ PLAN NO. TYPE: BLDG 0 HTG 0 ELEC 0 PLBG OWNER USE/NATURE OF WORK #.Jr-~ ~ C)~~ DESIGNER BUILDING CONTRACTOR tl Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit I Class of Const. HEATING CONTRACTOR Heat D 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 :J ~~ _BT _WH _Sh _FOr _ L Tub _Disp _OW _SP _ Eject _ WSoft _OF _ CBasin ~ San. Sewer .-L Storm Sewer L Water VfllL vluC I~ ~ _Lav _WC _Ur _Sink Other _SS FEES: Valuation $ .( -5CJ (j . ~ C> ~ ISSUED BY Permit Fee Paid $ S 0 ~ C) ~ Date 9~.2-/.9 y:- / / Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~.e~ tj 9 s-V ai, H.ri"'''j;;" tZv'~ t 9-/.2 -~,.. DATE ~5-c.%V TELEPHONE # ADDRESS ~~~OH ~6$7) # . ~ IlA%E _ ~ PEllHIff V/S.s-b ft:~::: H. H 23 -~ OF WOlUt /1/5'r.- f) . /' NEtI RELAY BEl' AI1l f nrm JC # Batheub La.vato Toilet ltit. Sink Sink( other W te heater # ADDIESS cr;NEB. NAnmE PECTION ~...t2~.-a. DAm ** Viola~ion noee~ on the reverse sidel