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HomeMy WebLinkAbout0005541-Plumbing (new bathroom) ~ CITY OF OSHKOSH N2 PERMIT - APPLICATION AND RECORD 05541 TYPE: BLDG D HTG 0 ELEC D PLBG ~ SIGN D ZONING FLOOD PLAIN HEIGHT .. .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ... .., -. .. .. .. ... ... .. ... ... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ADDRESS /:7 (" ;;;c L..f'l-/C/ PLAN NO. / .-S C-AJ~ r1 e~-/ / OWNER DESIGNER USE/NATURE OF. WORK A-{7~/ h4: BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type_ Volts_ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR ~c ~ -LBT _WH _Disp _DW _SP _ WSoft _DF _ CBasin +Lav _Sh -+- WC _ FDr -/- Sink ~ L Tub / Other / ~ /~'!/~A~ _ San. Sewer _Ur _ Storm Sewer z~ ,) 61 /~ _SS _ Water FEES, VaIUati~S:~- ISSUED BY. ~ . J ..)-' Permit Fee Paid $ /(;?' ~ Date ( .JJ ~/~-.9 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 ""-~ 2 ~ AGENT/OWNER DATE ADDRESS TELEPHONE #