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HomeMy WebLinkAbout0042780-Plumbing (interior) .I ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD )L fCo N~- -. 42780 TYPE: BLDG 0 HTG 0 ELEC 0 PLBG)j SIGN 0 ZONING FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ADDRESS ~3l0d So f})c~ QOor ~~cur ); PLAN NO. OWNER DESIGNER USE/NATURE OF WORK {J} bS 11lfora htrnS- J1~ Ja hruJ) BUILDING CONTRACTOR Size Foundation Sq. Ft. # Rooms # Stories Height Occupancy Permit Class of Const. " ,;;J rf 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 D J-f1JrlSvn _BT -.LWH .LLav _Sh iwc iFDr _Sink _LTub Other I /Dca D l.hnb _Disp _ WSoft _ CBasin _OW -LDF _ San. Sewer _SP _Ur _ Storm Sewer _ Eject __SS _ Water FEES: Valuation $...2.frO ('). 0 -0 ISSUED BY I ~<f-:ooJ Permit Fee Paid $ . Date' /~? -9~. 1.;1-1 Park Dedication $ Final/O.P. to perform all work pursuant to rules governing the described construction. SIGNATURE AGENT/OWNER DATE ADDRESS TELEPHONE # SAN SEW wATER sncnoN DATE P9!U!fY LAY REPAIR msnCTION ** Violation notes on the ~eve~se sideJ, DATE PEBHIT# <;L;2 7go