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0030749-Plumbing (orders to correct)
~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N~ 30749 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG JP SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - -~ - .- - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS 9-- G () S . PLAN NO. ;i/~ OWNER DESIGNER USE/NATURE OF WORK o~~ Cc~ 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 D Temp D Type_ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR (J ~t2~ _BT _WH _Disp _ WSoft _ CBasin ~ _Lav _Sh _OW _OF _ San. Sewer _WC _FOr -I- SP _Ur _ Storm Sewer _Sink _ L Tub _ Eject _SS _ Water Other / FEES: Valuation $ /6 C> 0 .0 0 Permit Fee Paid $ 10. 0 C)/ Park Dedication $ ISSUED BY t#- Date '7-/V-;;L-- Final/D.P. In the performance of t' work I agree to perform all work pursuant to rules governing the described construction. eJ-(f. q~ DATE ADDRESS d~?'> / (~Cr-- .~0--f-~ 7. ") TELEPHONE #