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HomeMy WebLinkAbout0031491-Plumbing ~ CITY OF OSHKOSH N~ 31491 PERMIT - APPLICATION AND RECORD ~~:E~~ ~L~~ .~ - HT~ ; C :E;O ~ ZO.NIN_G_ _ _ _ _ _ F~~OD_ P~~N~~ ~~_ _ HEIG~T_ _ _ _ _ '/~ ~ 1/1.4 I OWNER ~ -' -~ c::L~ DESIGNER III~P~~J~7 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 II> ~ _Lav _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer ~ _BT _WC _FDr _Ur _ Storm Sewer _Sink Other _ L Tub _ Eject _SS _ Water /?f?L- Permit Fee Paid $ Date / /D.D oV //7 ~r~ 2- , Park Dedication $ Final/O.P. FEES: Valuation $ ISSUED BY !;,-o (9 . 0 C) In the performance of Is.work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE (tJ -dtl-~ DATE ADDRESS b rftJ d33 -;S;;0~ TELEPHONE # j PLtlMBING PP.:mtrr APPLICATION ADDIESS ~ 60S:- ~ DAn 51 /7/7 :?- OWNER ~~ PI.mmD. / / -f) I~<?... ~!tJU OF WOlUC 1~~ NEt~ REPAIR l'EBHIT# 5/ ~7 / nmtRIOR # Bacheub Lavato Toilet Kit. Sink Sinldocher w teheater ,- SAN SEtl 'WATER I !NSPECTION DAn: msncnmr DAm t " A _ 7!-- Cc~~~' w(o ~~ 0/&/72- ** Viola~ioft notes on the ~eve~se 9ide{