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HomeMy WebLinkAbout0033255-Plumbing (laterals)~O~ ~ CITY OF OSHKOSH N°_ 33255 `' PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------- ---------------------------------------- ADDRESS '~ °3 / ~ '~`~~ PLAN NO. OWNER , \ ~ -~-~--~- BUILDING CONTRACTOR Size Sq. Ft. # Rooms _ Foundation # Stories Height . Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles PLUMBING CONTRACTOR -BT -WH Lav - Sh - WC - FDr -Sink - LTub Other Volts Amps - Circuits Disp DW SP -Eject - WSoft - DF Ur - SS -/ CBasin ~L San. Sewer_ Storm Sewer Water ~/ C r~~ ~ ~~ ~/ FEES: Valuation $ ~©~ *~ ~ Permit Fee Paid $ ~ ~' ~ ® ~ Park Dedication $ ISSUED BY_ Date ~ _ ~' 7~-~-3 Final/O.P. In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ~- ~- AGENT/OW DATE ADDRESS TELEPHONE # E PL~ZNC PL81~? APPLICATION anD~:ss ~ ~ ~~ nAT~ ~ - ~ ~ -~ ~ 3 3~-,s'~-~ owNEa L -~=.~ ~~ NATOSa aF vase ~(.! ~' r oQ - f ~ . - ~ l~ ~puc Wa ~- ~ - ~ .~ ~ goc~e~ ector Catch Basin --- - side