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HomeMy WebLinkAbout0046000-Plumbing (stack vent) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 1/3/ N! 46000 ~P_E~ _ _ ~L~~ _~ _ ~T~ _ ~ _ ~~E~ _ C? _ ~~B~ _ ~ _ ~I~~ _~ _ ~O_N~N~ _ _ _ _ _ _ _F~~~D_ ~~I~ _ _ _ _ _ _ ~~I~~T_ _ _ _ _ /qD3 1-Iarr/S6n 3-t. ~eor3e.- ~c:.Jl(leff>r 3" I. ADDRESS PLAN NO. OWNER DESIGNER --'\ '-"'- USElNATURE OF WORK (' >l+.ehd S+Ar...~ V,fy.-f (;>::.I/t. e,eol7}t> '5 Go. 5/'9kl- :+. t'\ Y\ BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR Heat 0 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 ~CLyv\yY)Gn~? /LLmh/r:J _ BT _ WH _ Disp _ WSoft _ CBasin ~ -C.-- Lav _Sh _FDr __ L Tub _DW _SP _OF _ San. Sewer _ Storm Sewer _ Water _WC _Ur _Sink Other _ Eject _SS / . / FEES: Valuation ~~ Permit Fee Paid $ /1). t9D ,.-- ISSUED BY z------ Date ? -/ ~~~ Park Dedication $ Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE DATE ADDRESS TELEPHONE #