HomeMy WebLinkAbout0040861-Plumbing (corrections)
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CITY OF OSHKOSH
PERMIT - APPLICATION AND RECORD
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N!!-40861
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OWNER ^ ~ '( ~-7~
DESIGNER
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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_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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_BT
_WH
_Sh
_FDr
_ L Tub
_ Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
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_Lav
_WC
_Ur
_ San. Sewer
- Storm Sewer
_Sink
Other
- Eject
_SS
_ Water
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Permit Fee Paid $
Date
/
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7:APY
Park Dedication $
Final/O.P.
FEES: Valuation $
ISSUED BY
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In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
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AGENT/OWNER
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SIGNATURE
ADDRESS
TELEPHONE #
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