HomeMy WebLinkAbout0000256-Plumbing (toilet)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
N2
00256
TYPE:
BLOG 0 HTG 0 ELEC 0 PLBG ~SIGN 0 ZONING
FLOOD PLAIN
HEIGHT
OWNER
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PLAN NO.
ADDRESS
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DESIGNER
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Co
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USE/NATURE OF WORK
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
_BT
_WH
_Sh
PK ;Cb/'/"-'<?-c~
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
PLUMBING CONTRACTOR
_Lav
-.L wc
_ San. Sewer
_FDr
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES, Valuation L R; =- Le'mlt Fee Paid $
ISSUED BY . A~" Date
p
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Park Dedication $
Final/O.P.
work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #