HomeMy WebLinkAbout0029222-Plumbing (laterals)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
29222
TYPE: BLDG 0 HTG 0 ELEC 0 PLBG l4f SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
1701
G-
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PLAN NO.
ADDRESS
DESIGNER
USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Occupancy Permit
Foundation
Class of Const.
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
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_WC
_Ur
_ CBasin
~ San. Sewer
~ Storm Sewer
~ Water
~
_Sink
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_BT
_WH
_Sh
_ Eject
_SS
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l{97Je
I~
_Lav
Other
ISSUED BY
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W/G--
Permit Fee Paid $
Date
/
30,00'/
c;// /;/? 2-
/ /
Park Dedication $
Final/O.P.
FEES: Valuation $
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE ~/
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AGENT/OWNER
DATE
ADDRESS ~<{"""o<7 ~;~ e,..17 sc4Qtf/ ~.::e d
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TELEPHONE #
ON
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#
Baeheub
La.vaeo
Toilee
ltie. Sink
SiDk{oc:her
W te heater
#
ADDRESS
OWNER
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NATDU: OF Q'OU ~J?;~~~::-
NEtt REUY
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iolATER
1)A1'!:
DAm
Sum Pu
Ej ector
Water Softener
Drinkin Fountain
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