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HomeMy WebLinkAbout0029604-Plumbing ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD N2 29604 ~~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E~ _ E? _ ~~B~>> ~I~~ _~ _ ~O_N~N~_ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ ~<yO /~ ~ ~dd 6~ ADDRESS PLAN NO. OWNER DESIGNER USE/NATURE OF WORK AJ~ F ~- ~~ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat D AlC D Vent D Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Servo New D Change D Temp D Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _~T -L WH ~ Disp S-Lav ;r- Sh ~ DW t..f wc --L- FDr ~ SP --t-- Sink L L Tub .d- ~fject _ Other l:,Il(:w~rr G-~ W- _ WSoft _DF _ CBasin _ San. Sewer _Ur _ Storm Sewer _SS _ Water )J-( ~~ / 9'~ 0 C/ "7/ 7 /, ~ / / Park Dedication $ Final/O.P. 1-j3-q~ FEES: Valuation $G-cP-60 ~o c) ~ ISSUED BY Permit Fee Paid $ Date In the performance of this work I. agree to perform all work pursuant to rules governing the described construction. SIGNATURE , ;?&A~-$ ~~$JA~ 7-J'-?'e1, DATE ADDRESS TELEPHONE # PLmmING 'nllHI"t APPUcA'nON AmlBZSS R;m *' AL~ ~ _;-.> &7. .1lA'fE c,l;,y'J? z-. ~,9 '1(.0 '/ CllREll L~Z 6~ : PlJIIIl\U I G-~~ -)~ ~ aT 1IOIlJ:~ - s rf) - ~ ~. .<. :.;~ _ nuy llEPAIll ~IUOB. · :o~t -- ~u pu ,Ej'~ctor Water Softener Dr~nkin Fountain = " NSl' C'nON 'DAm 4&/ R;1: vi'! ~t,v1:J INSftC'nON DAm --- " r~l'=- ~;1-1 Af- -:!i?.tCh Basin , _ ~ ~.;v;t_~/ll1 ~ g,rA~l-A~r - ov~77;J-;/ (~ .. l~ J /. ~ ~ ~ .0 . TL~ok~ !" YiO~"'. .. ~e. "'\ J:hl'. __'47. idil