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HomeMy WebLinkAbout0033056-Plumbing ) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 ;L/D 33056 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ E? _ ~~B~ _~'_ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ~C/V 114 ::::::RE OF WORK s4:hf~ 67- ~ ADDRESS /7g-7 ()~ PLAN NO. OWNER ~r~ 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_ Fixtures Switches Receptacles Circuits t PLUMBING CONTRACTOR I.. a;;::2-r1~-C;~ _Sink Other _FOr _ L Tub _Ur _ CBasin _ San. Sewer _ Storm Sewer _ Water ~? _BT LLav ~WC _WH _Sh ~Disp _OW _SP _ WSoft _OF _ Eject _SS ISSUED BY Permit Fee Paid $ Date / .V /U!) " (5) C) ~~ -/6 -95 Park Dedication $ Final/O.P. FEES: Valuation $ bb 0, a (!) ~ / 'c/ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE l~~ {;! AGENT/OWNER lf/~ t~h~ 77Z ~ 3-16-fJ DATE ;2:; ]-(1 Y) ADDRESS TELEPHONE # A.DDIESS lrwNElt NA:tmt! SAN smJ 'WAmR '! P C'nON RI PLUMBING PEmtrr APPLICATION L 0/ Dm::) -/(, -7'3 n.mmU ~~-v NEtl REPAIR DA'l'E mSPEC'r.tON DA'l'E 3 ~02? ** Viola~ian noees ofttne reverse sidel, PlmaTl S ~ o~k ~~~ # Sum Pu Ejector Water Softener Drinkin Fountain \/'