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HomeMy WebLinkAbout0040817-Plumbing (city water) ~jr n CITY OF OSHKOSH N~ 40817 PERMI T - APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELE ~ ^ PLBG~ SIGN ^ ZONING YY FLOOD PLAIN HEIGHT --------------~ ©- ADDRESS ~ _ - -- -------------- ---/ ~ ---- -------------- --- PLAN NO. OWNER r ~~ ~ DESIGNER USE/NATURE OF WORK ~~`~~'~-'C 3UILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fu I/System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ^ Chan e ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR BT _ WH _ Disp - WSoft - CBasin Uli. Lav _ Sh _ DW - DF -San. Sewer WC - FDr _ SP _ Ur -Storm Sewer -Sink - LTub _ Eject - SS -Water Other FEES: Valuation $ ~© ~ ~ ~ d Permit Fee Paid $ l®"©~ Park Dedication $ 'I / ISSUED BY ~~G~ Date ~ aL ~ !~" Final/O.P. In the pertormance of this work I agr a to pertorm all work pursuant to rules governing the described construction. SIGNATURE~1~':~t~a ~~ ~ I ~ ~~~ ~~' 7 - ,~ :~ ~' ~ ~ AGENT/OWNER DATE ~ ~ ADDRESS ~~ ~ ~~~~~ ~ 7 ~~ ~~ .wC ., ~-'~,~' `7i _~ ,~'~, TELEPHONE ~