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Home My WebLink About0015389-Plumbing (interior) (t) CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 15389 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT ... -...... - --......... -- - --...... --- --- --- - ---... --... --... --... --... - -- -...... -......... -- - --......-...... -- --... OWNER / 9tfS /I~e()rY . I /Y7~-dVv/J PLAN NO. ADDRESS DESIGNER USE/NATURE OF WORK ~ fV fV 5/~4~ / 4_='5 , BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const., Height Occupancy Permit Foundation HEATING CONTRACTOR Heat 0 NC D Vent D 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 .:L BT 1WH LLav ~Sh Lwc LFDr --I- Sink ~ L~A(/t() /- ,L t- ro e-J, 1 Disp --L- WSoft _ CBasin --LDW _DF _ San. Sewer ~SP _Ur _ Storm Sewer _ Eject _SS _ Water Other FEES: Valuation $ 7(p0tJ ,0 l> Permit Fee Paid $ ISSUED BY /Y1 - If ~ Date /' 'V 9~- 0 0 ~~ /~9 Park Dedication $ Final/O.P. S"?J;/YJ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. ~ //~2-Pl W~. ~# -~7 ;'--Z1Z.~ SIGNATURE _ ~,,C. ~ 7' - t' - i5 ~ AGENT/OWNER DATE ADDRESS TELEPHONE #