HomeMy WebLinkAbout0035500-Plumbing (interior)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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35500
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG)p' SIGN 0 ZONING FLOOD PLAIN HEIGHT
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DESIGNER -7!
USE/NATURE OF WORK A1s~ t. - ~ ~ a J-LL
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OWNER
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
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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 CONTRACTO~ .s: ~..".... ~---~~ f ..-L7
~ BT J WH ~ Disp _ WSoft _ CBasin
1--Lav iSh _ OW _ OF _ SM. Sewer
')-.WC . --L FOr ~ SP _ Ur _ Storm Sewer
i Sink ---L---b=Fttb Pre.. uJ ~ Eject _ SS _ Water
Other
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FEES: Valuation $
ISSUED BY
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Permit Fee Paid $
Date
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Park Dedication $
Final/O.P. /6/!p/~j_
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 3 L ~ K -16 -1}
,,- AGENT/OWNER DATE
ADDRESS ...<<:;0 t7, Gll/e~/1 J
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TELEPHONE #
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ADDRESS
OlJRER
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SPECTION DA!Z
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