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HomeMy WebLinkAbout0040800-Plumbing (laterals) ~ CITY OF OSHKOSH PERMIT - APPLICATION A.ND RECORD V3/ N~-40800 TYPE: BLDG 0 ~~~;E~~ - - - - - - - -; ~ ~ - - - /4- ~ - - OWNER '~~~~~~-i? ~ 4~~ PLAN NO. SIGN 0 ZONING FLOOD PLAIN HEIGHT DESIGNER ~ ^J ~~~-----C~ .Lz:;r'J~ USE/NATURE OF WORK ~~<---~----- BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Class of Const., Height Occupancy Permit 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 PLUMBING CONTRACTOR ~/ r!~~ _BT _WH _Sh _ Disp _ WSoft _ CBasin ~ _WC _FOr _ L Tub _OW _SP _OF _ San. Sewer _ Storm Sewer _ Water _Lav _Ur _Sink Other _ Eject _SS FEES: Valuation $ ISSUED BY &'-00 ,,~O ~--- Permit Fee Paid $ Date I /o",6d ~$.7/9 ~ l / 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 ';f;:.# ~ ~~~{;&.??~ AGENT/OWNER ADDRESS J'L;Jy' q~ r./: U-~<f. 5"f/q6 ;?-~?'-fF~ DATE ~I J..- 3F' 7 r= TELEPHONE # VOgDO OWNEIl tL\.TmU!: OF WOKlC NEtl ~ REI.AY DA'm nn:EIlIOIl # Baeheub Lavaeo Toilee ltie. Sink SiD1dather w te heater # REP AIIl SAN SEW wA'm1l ~ .~ SPECTION DAT! INsnCTION fZJ> tTt r M ** Violaeion noees Oft the reverse side{