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HomeMy WebLinkAbout0045992-Plumbing (laterals) e~ ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 1-Jb~ N! 45992 -- tt~ TYPE: BLDG 0 HTG 0 ELEC 0 PLB~IGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - i - - - - - . - - - - - - - - - - - - - - - - - - - ADDRESS :J 10 L/ J-I il~{)Y-J Ln. OWNER-y('~dri c-.~ L. -p / onJ!a PLAN NO. L+o.-I DESIGNER USE/NATURE OF WORK if1sJ-al/ rucJ:J 'S.LuJ.e -,U o.../nrf IA J.-(1 --!::I-L) 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 5o.-m n'lon3 _BT _WH _Disp _Lav _Sh _DW _WC _FDr _SP _Sink _ L Tub _ Eject Other ? ItLIVYI b/ h.J _ WSoft _DF _ CBasin ~ San. Sewer G 4 J ? kL~ fie.- _Ur _ Storm Sewer -L Water I) (!npp~ r- _SS ~./ FEES: Valuation >~~. _~:,:ee Paid $ Qn. no. _ ISSUED BY ::.----- Date > -/)C-f'~ ~ . SL~Ol"ea Park Dedication $ Final/O.P. In the performance of this work I agree . to perform all work pursuant to rules governing the described construction. SIGNATURE DATE ADDRESS TELEPHONE #