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HomeMy WebLinkAbout0024787-Plumbing (bathroom remodel) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD 24787 ~~~::~BL~~~~: ;~~~O_N:_~~~:~~ -N~- _ HEI~HT_ - - - - DESIGNER ~~ USE/NATUREOFWORK ~A-. _ ('~/ ~"i--~ ~ - BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. Foundation HEATING CONTRACTOR Heat 0 NC 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 , "^ .-t _Sink Other _FDr _LTub _Disp _DW _SP w PLUMBING CONTRACTOR o (< 6- _BT ~Lav 5WC _WH _Sh _ WSoft _ CBasin _DF _ San. Sewer _Ur _ Storm Sewer _ Eject _SS _ Water Park Dedication $ Final/O.P. FEES: Valuation $ .s-O (:1 Cl>. n (j ISSUED BY ~ ~~~ v Permit Fee Paid $ Date In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE_rtJ 14 ADDRESS l326 P"'AN1 .-<. l?) 1'2/C, , DATE AGENT/OWNER ~ 1.,TZ- 6{l(.~e aU t...- , ~-l(}4~ TELEPHONE # --~ ::.* ~, tAJ C U LAc:.) ~ DF . ~ PLUMBING PE~~T APPLICArION ADDRESS;/;;!pJj~';i ~.. .... _DATE. '1-i;;.Jl~ PERMIT# ~f7g7 OWNER ~ ~, . .. ~_ J:lLUMBER ~ . Ct4JL. NA!1lRE OF "OR!{ ~5 ~)~, <I Y JI:wf I '7}LuJ.P.uJ- NEloT RELAY REPAIR INTERIO 'IF Bathtub Lavato Toilet Kit. Sink. Sink.(other Shower Floor Drain Dis osal Dishwasher Water Heater _....~ ~ ~ IF P1.pe DATE [** Violation notes on the reverse side]