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HomeMy WebLinkAbout0032973-Plumbing (laterals) ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD }L3 c-' 32973 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG % SIGN 0 ZONING FLOOD PLAIN HEIGHT _ _ _ _ _ _ _ _ _ _ _ _ _ 00 _ _ 0 _ 0 _ _ _ _ 0 _ t __"~ _ / _ _ _ ~- ~ "~. "0- _ ~o _ _ 0 0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ADDRESS /7 [) Q /11/ S~ I C~ PLAN NO. OWNER ~ t(. $, 11: . DESIGNER USE/NATURE OF WORK ~~- :--~r-C~ d.~ ~/ - /t/O 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 11 PLUMBING CONTRACTOR ~~~ p~ _BT _WH _Disp . ~ WSoft _Lav _Sh _DW _DF _WC _FDr _SP _Ur _Sink _ L Tub _ Eject _SS Other _ CBasin -'- San. Sewer ~ ~/iJC- _ Storm Sewer -L Water / /y&-<- FEES: Valuation $ ISSUED BY ? 7/S": CO ~ Permit Fee Paid $ D~L F.-a~ / V-' Park Dedication $ ~b,C ~ "--s, ,- /' /- -?? ~ Date Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~/L_:~..7 MPS/OY 311~/<f? / ~R ~ ADDRESS TELEPHONE # SAN SEY ..ADR PJrmtBmsJ PEm'!APPLICA'lION ADDIESS /7 Co hJ.. ._~ ~rtL-z-.:A' DAD: 3 - '1- -7'--3 . PEBHI'!# _It ~~.J't4<;~. ..~i' :T.-<'~U7 NAnmE OF W ;1/ ~ C~~- C ~~~&t--L7/ Rn.AY REPAIR . nrrEllIOB. # Bathtub Lavat Toilet Kit. Sink Sink(other W te he ter Y30 3...:27 ? ~ I ~ ~ DAm ntsnC'!ION f~~F~ -~~ >>AU o o 1175~ ** Viola~ion. notes on the reverse side{