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HomeMy WebLinkAbout0033869-Plumbing (laterals) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD ~o/ 33869 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG;lr SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - USE/NATURE OF WORK I~~~...~ PLANNQ c.. I(~ ~ .1Isrl!.-0~0' ADDRESS OWNER DESIGNER BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation 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 E~ E ~~ <P6 _BT _WH _ WSoft _ CBasin _Lav _Sh _DW _DF -L San. Sewer c.f IJ ~ _WC _FDr _SP _Ur L Storm Sewer If fJu L _Sink _ LTub _ Eject _SS L Water (C-- Other Permit Fee Paid $ Date / .3 C) . ~ C .;' s;-//0~ I Park Dedication $ Final/O.P. ISSUED BY /otJO., <t?Z O'c/ FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE U/UVL/14 AGENT/OWNER /? C1~ /.jd 9' is ~ L"J/lo&?l 24'(/ - 66'69 DATE ADDRESS ~4. J ith.' . .S-~9'1/ ZC1'9 .;6~6~ TELEPHONE # ADDBESS amEB. u:nm.! ~AN smJ W'An:B. / '\lo , ~~=oo I Lgo 6-. _ DA%!: s// 7: '7 OF~t?~-6~ ff, '~~ NEt~ RnAY REPAIR nrrEm: )e # Bach cub Lava1:a Toile1: 1ti 1:. Sink Si,nk(oCher W te heater PECTION DAn: ~J 11f/'Z) UM~ ..... Viola~ioft t10~~S Oft the "verse sideJ, VD/ l'Emtt'!# :3.3 g" b '7 t?~ , I