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HomeMy WebLinkAbout0044055-Plumbing (toilet) (t) CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD YlO N! 44055 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG ~ SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - ADDRESS 805 OWNER~O (V --'Nfl 1 J'f\1 0 ~ St. ,,-~rh~hk(L, PLAN NO. DESIGNER USE/NATURE OF WORK 1<Q f~\ ~~ Q t- BUILDING CONTRACTOR Size Sq. Ft. Foundation # Rooms # Stories Height Occupancy Permit 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_ Circuits Fixtures Switches Receptacles PLUMBING CONTRACTOR ~ff\,U~f)Q)(\ _BT _WH ~Disp _Lav _Sh _OW iwc _FOr _SP _Sink _ LTub _ Eject Other _ WSoft _OF _ CBasin v _Ur _ San. Sewer _ Storm Sewer _ Water _SS FEES: Valuation $ ~ CO ISSUED BY .. ~ Permit Fee Paid $ Date 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 ;( rJ ' !> -J- ?-1) DATE AGENT/OWNER ADDRESS TELEPHONE /I