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HomeMy WebLinkAbout0038221-Plumbing (lav & toilet) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 l../L/o 38221 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT .. ... ... .. .. .. .. .. .. .. .. .. .. ... ... ... ... ... ... .. ... ... .. ... ... .. .. ... .... -- .. ... .. ... ... .. -_ .. 00- .. ...... '.. .. ... .. .... .. .. .. ... -.. .. -_ .. ... -,.; 00- .. ... ... .. .000 .. ... .. .. ... ADDRESS ~~~>J:~J PLAN NO. OWNER DESIGNER USE/NATURE OF WORK .ILefP. _RA}}} ~ltf BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. 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. 'AJ aA 1i'UI~ _BT ~Lav -'- WC _WH _Sh _Disp _DW _SP _ WSoft _DF _ CBasin _ San. Sewer _ Storm Sewer _ Water ~ _Sink Other _FDr _ L Tub _Ur _ Eject _SS FEES: Valuation $ 15 tJ. Of) ----Permit Fee Paid $ ISSUED BY ~ Date / I().OO ,,/ ?- / ~3 FIA./ I I 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~~ ADDRESS \<n.l)l'(\lU }~~, AGENT/OWNER ~d51~4 DATE TELEPHONE #