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HomeMy WebLinkAbout0040461-Plumbing (misc) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD y;rc N~ 40461 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG Jtf SIGN 0 ZONING FLOOD PLAIN HEIGHT ::N::~ - - - - - - "(f!i -f3ii - - - - - - - - " - " - " - " - " - ~~~ ~~" - - - - - " - " - - DESIGNER ~ f)/1/r ~~/ . . f I USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Canst. 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 _BT _WH _Disp _ WSoft _ CBasin ~ _Lav _Sh .-Low _OF _ San. Sewer _WC _FOr ~P _Ur _ Storm Sewer _Sink L L Tub _ Eject _SS _ Water Other FEES: Valuation $ /C.6 (') '. a 0 Permit Fee Paid $ Park Dedication $ ISSUED BY $4/ Date Final/O.P. In the performan~ce ofth;. work I agree ;:::;::; work pursuant to rules govem;ng the described construction. SIGNATURE __ G$~ AGENT/OWNER DATE ADDRESS TELEPHONE # SAN SEtl wAIEIt nIOO:T# ~/O j>LD ;CC/"' ADDESS ormEIt NAnm! OF WOBX NEtl SPECTION DAD mSPECTION DAIE # Bachcub Lavaco Toilec !tie. Sink Sink(other W te heater Slo Sink G ease Tra Local Waste Site Drain Laundr Stand Dishwasher Catch Basin t) t4>fr r ').t-~~ -if -' . -I.. _tY-P .J--Y4~.'S,_:r>T )i;C~_J ~J.,-'-- 7) ~ ~ 0 J-t<!.Prv {iD~ }t:> .p f- f~ qll Fsjlp? Q~ ~51 ** Viola cion noCes on the reverse side{ -.-