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HomeMy WebLinkAbout0029113-Plumbing (interior) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 29113 TYPE: BLDG D HTG D ELEC D PLBG4 SIGN D ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 17D/ ,~&-~ / [~/S4 F~ I ItIS f' - ~07 ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D ~ Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits -;., PLUMBING CONTRACTOR ')-BT ~ WH ~Lav ~Sh ~WC -LFDr LSink _LTub ~ f-!-4J ~ Disp _ WSoft ~DW _DF isp _Ur _ CBasin tAifL _ San. Sewer _ Storm Sewer ISSUED BY t:,?OD.D b ~ _ Eject. ~ -=-- S S>> ... _ Water {-(j(kJ ~ f1f:y t:1<oc>>/ 0//0/7' ::2- / / Other FEES: Valuation $ Permit Fee Paid $ Park Dedication $ Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~ 4 ~-,iJ / AG TIOWNER ADDRESS /YJP,j/O~ G,//O/?L- , DATE TELEPHONE # PI.1DmINC !'EDIT APPLICATION AIlDBESS /70, ~ G- ~ / DAD: -;/ ~ .' P!llIIIr# ;2 '1//3 (Rftll ~ 0/ S Q~ r- ~ n.DIIIlD._ /'~ NAnnu!: OF WOU S f: - ~ NEtl Rn.AY REPAIR SAN SEY t.lAI'ER # I N CTIOH 1"E msncn RS '/...2t -..' "" 3> (( ;{d4-ll~-~k L{b- o/r/~ V'~7;{54-YII r 9 ~ ;Js ~(J~ I UTi r~~t , ~s: ~. ( **