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HomeMy WebLinkAbout0002930-Plumbing (laterals) ~ CITY OF OSHKOSH Ng PERMIT - APPLICATION AND RECORD 02930 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG~' SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - OWNER ~~t~:2</ PLAN NO. ADDRESS DESIGNER '- 9 (:) .-(<-~'t:3; -- c~~'1>'" ../~7~ - USE/NATURE OF WORK BUILDING CONTRACTOR Size. Sq. Ft. # Rooms # Stories Height {)gcupancy Permit Foundation Class ()f gonst. 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 _BT _WH _Disp _Lav _Sh _DW _DF _WC _FDr _SP _Ur _Sink _ L Tub _ Eject _SS Other _ CBasin _ Water ./ Ii _ Cl?~_ ~ FEES ValuaUon ~::::;= ...... _~~,~;t;':~';;;~Z~V ISSUED BY tJ;.' .' :$'~ Date 1'.7(.1/9'4) Park Dedication $ Final/O.P. 7/1/1 at. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE\7'-or:~..91.i~~~ AGENT/OWNER DATE ADDRESS TELEPHONE #