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HomeMy WebLinkAbout0007540-Plumbing (lav) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 07540 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~IGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ " " " " " " " " " " "i"i ~ ;; "/ir ~k;; " " " " "" " " " " " " " " " ~~~ ~~" " " " " " " " " " " OWNER %-v-"r. Y~A-A DESIGNER ~4r...~t"/ rr~C l USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Class of Const, Height Occupancy Permit Foundation 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 a/;~~ _BT _WH _Disp +Lav _Sh _DW _WC _FDr _SP _Sink _ L Tub _ Eject Other _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _ Water. _SS FEESo Valuation ~~m;1 Fee Paid $ ~ k ISSUED BY ~ Date , 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 ~ ~, AGENT/OWNER DATE ADDRESS TELEPHONE #