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HomeMy WebLinkAbout0044556-Plumbing (laterals) ~' CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD jLo/ N!! 44556 ~'r' TYPE: BLDG 0 HTG 0 ELEC 0 PLBG rK SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - :/- - ~ .~. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ::E:S 11 ~ C:~ PLAN NO USE/NATURE OF WORK /j/Y F- D~P7~ DESIGNER BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit 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_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR _BT _WH ~ ?~ _Lav _Sh _FOr _ L Tub _Disp _ WSoft _ CBasin $L ;:' ;/ c L _OW _OF --1 San. Sewer _SP _Ur -.L Storm Sewer VIele _ Eject _SS -L Water I~ _WC _Sink Other FEES: Valuation $ /-5-0 0.,. a a ~---- Permit Fee Paid $ Date / :set 'G-O.I PjffS- Park Dedication $ Final/O.P. ISSUED BY In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~/~ . ~-/J'"'j"S ~~ air RS;GENT/ow;t e {J}A/Jfll. ~;~t: C/so ADDRESS ~ /~ #tI ~. TELEPHONE #