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Home My WebLink About0008161-Plumbing ~'~~~i'.h"0'?:";;':'~-"~_''-'-- ~ __n__."......._........,... ..._._, 0' _._-"_....._.~_...."~~._...~"' _'~'__' ..,_ '_.' -.-..--,-._.,....'..____u CITY OF QSHKOSH N~ PERMIT - APPLICATION AND RECOFtD 08161 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG j&... SIGN 0 ZONING FLOOD PLAIN HEIGHT ~~~~E~~ - - - - - - - - - - - ;;;0- - - ~ ~ -~ - - - ~ - - - - " - . - - . ~~: ~~' " " - - - " - - - - ~ l~c:{ OWNER DESIGNER USE/NATURE OF WORK ;.4{..v"./ 5:'?2- , ';-Y:C~ //~ l"J j...";"~,,, ' '..,>"'.,-._,..";-.'_~'!.:".,"<,.'.;.;cc-, BUILDING CONTRACTOR I ,:","',1.-,.,,,' Size Sq. Ft. Foundation # Rooms # Stories Height , Occupancy Permit Class of Const. HEAflNG CONTRACTOR .i4eat 0 NC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo Type_ Volts_ Amps_ Fixtures Switches New 0 Change 0 Temp 0 Receptacles Circuits PLUMBING CONTRACTOR -L BT -t- WH g~'1i . --I- Lav +WC -1- Sink Other / ~ f _Sh -I- FOr -LL. /a~~ ~ ISSUED BY _Disp _ WSoft _ CBasin -OW _OF _ San. Sewer -I- SP _Ur _ Storm Sewer _ Eject _SS _ Water .. . .... ................. ................... .)/ Penn I! Fee Pa;d $ ~ Date /I/~ I Park Dedication $ Final/O.P. R -,2 - 89 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE rr4({ ~ m;:7 ~ ft1 9 AGENT/OWNER ADDRESS ft'ctJ ~ IfFf' DATE TELEPHONE # ~UMBING PERMIT APPLICA~TO ADDRESS -<j::/:!~/['licrL ' "DATE. ?1~O-= . ~PERMIT# OWNER 7c1./~ .__L PLUMBER _3~_.vl' ~ NATURE OF WORK t"l/'~ ~~ CJR/t/ NEW RELAY REPAIR INTERIOR INSPECTION DATE INSPECTION [A t'\f.~ 1-(/;)f sg f r!:lIOB~ DATE Pipe SAN SEW WATER TORM SEW ~~ Violation notes on the reverse sidel I.