HomeMy WebLinkAbout0029112-Plumbing (lateral)
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
29112
DESIGNER
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USE/NATURE OF WORK
BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Class of Const..
Height
Occupancy Permit
Foundation
HEATING CONTRACTOR
Heat D AlC D Vent D Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
Electric Servo
New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
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{/ _ Disp
_DW
_SP
_WC
_FOr
_ LTub
_ WSoft
_DF
_Ur
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-L San. Sewer !? I J c::
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_Lav
_WH
_Sh
_BT
_Sink
Other
_ Eject
_SS
_ Storm Sewer
_ Water
FEES: Valuation $
ISSUED BY
9000.0 0
4
Permit Fee Paid $
Date
I ~ 6.0 ~/
~//o/<y 2-
/
Park Dedication $
Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUR~ ,.4
ADDRESS
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EN fOWNER
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DATE
TELEPHONE #
J'LVMBn<<;-' PElUtt---rr APPI.ICA'l'ION
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g VL #
Batheub
Lavata
Toilet
Kit. Sink
SiDk.(other
W te heater
ADDRESS
OWNER
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SAN SE'Gi
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msncnOR'
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Ejector
Water Softener
Drinkin Fountain
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