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HomeMy WebLinkAbout0040860-Plumbing (bathroom) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD Y/ZJ N!!-40860 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG W SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - -~- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ADDRESS ?/h _ PLAN NO. / ~- OWNER "" en--..... ! DESIGNER USE/NATURE OF WORK ~~~~ BUILDING CONTRACTOR Size Foundation Sq. Ft. # 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 t FP-UMBING CONTRACTOR { _BT _WH ~Lav _Sh ~WC _FDr (~ _ Disp _ WSoft ~DW _DF _SP _Ur _ CBasin _ San. Sewer _ Storm Sewer ~ _Sink Other _ L Tub _ Eject _SS _ Water ISSUED BY ~---- Permit Fee Paid $ Date / /'2- <:::> '0 I .. ?//-~/7~ Park Dedication $ Final/O.P. &~ q~9C( FEES: Valuation $ '3 C Q) (!) ... ~ ~ In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Ik< I r:>/2q/fY II' I;~ ' AGENT/OWNER I " DATE .~ . SIGNATURE ADDRESS TELEPHONE # '7/&> PEDIT# r5. Rb t> PLt/ trLfU pJ 6-" ADDUSS OWNER NA'!tJtlE OF WOlUC 1/ NEtl BEl' SAN ~_ iJAttR ~TORM SEW # DAtt msnCTION DAtt ** Violation notes on the ~eve~se side{