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HomeMy WebLinkAbout0036696-Plumbing (abandon laterals) ~ N2 ~O2- 36696 CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~P_E~ _ _ ~L~~ _~ _ ~T~ _ C? _ ~~E? _ ~ _ ~~B~ _~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ DESIGNER g~O~ R t- ~ ~ /I~. ~S:/N I PLAN NO. ADDRESS OWNER 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 _Lav _WH _Sh 0 ~--- ~Disp _ WSoft _DW _DF _SP _Ur _ Eject _SS PLUMBING CONTRACTOR _BT _ CBasin ~ _ San. Sewer _WC _FDr _LTub _ Storm Sewer _Sink Other _ Water ISSUED BY /00.00 ~ Permit Fee Paid $ Date , /0 . 0 0 .,/ ///J-/7' J { I Park Dedication $ Final/O.P. FEES: Valuation $ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~~ ADDRESS ~ 5/.;; -L-.. 9~~-7 -1 cJ A~R~ ~ / / - d _.cy__ :::s , DATE c:9 .~3-/ 59-5 TELEPHONE # ADDRESS CTWNER ~nm: ; .)0 f:::; OF w: t::::J;: a~~/'W n.mmING PERHIT APPLICAnOR DAD '7/ ]/ 9 .3 PLmmn / ~. I~~ yo /_ nDIT' j/6,(7h c.. SAN ~ # # 'WATER Bacheub Sumn PUIl1D sm. L.1.vaeorr Ej ector , Toilee Water Softener INSPECTION DAn: !NsncnOlf DATE !tie. Sink Drinkin Q' Fountain f Sink(oeher) Th-;n",1 W;:tterheater Slon Sink Grease Tran Floor Drain Local Waste Laundry Tub Site Drain Disnosal Laundry Standnipe Dishwasher Catch Basin NE:!1 REI.AY REI' AIR nrrznoK ** Violaeiotl !loees on !:he reverse side)