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HomeMy WebLinkAbout0027398-Plumbing (laterals)_CITY OF OSHKOSH N° 27398 PERMIT APPLICATION AND RECORD TYPE: BLDG ^ HTG ^ ELEC ^ PLBG --------------------------- ADDRESS / ~O // -~%'Z~~~ OWNER SIGN ^ ZONING FLOOD PLAIN HEIGHT ~~`~ ~ `~L PLAN NO. ¢Q-.-..,-G ~i USE/NATURE OF WORK BUILDING CONTRACTOR Size Foundation Sq. Ft. HEATING CONTRACTOR Heat ^ A/C ^ Vent ^ Fuel/System # Rooms # Stories Class of Const. Heat Loss ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Fixtures Switches Receptacles Volts Circuits Height . Occupancy Permit BTU'S Amps PLUMBING CONTRACTOR L~ -.Q~r - BT _ WH Disp Lav Sh DW WC FDr SP -Sink LTub Eject Other WSoft CBasin ~ /~ '" DF ~ San. Sewer 7`" ~ ~ C Ur _ Storm Sewer SS ~ Water !' ~`- FEES: Valuation $ ~'Z ~ ° • ~ © Permit Fee Paid $ "z" ° ' ° ° Park Dedication $ ISSUED BY _ ~ Date ~ ~ ~ ° '"' ~ 2~ Final/O. P. ~~ ~ ~~ d ` y i In the performance of this work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE ,~~if~ .n•-!/ ~Pil~,~~ AGENT/OWNER DATE ADDRESS TELEPHONE # PL~ZI~G PERK? APPLICATION DATE .~ - ,~ a - 9 z PERMZ?# ~ 7 .3 9~ OWNEB NAT4BE OF WORE NEGT RELAY REPA T ~~ G - - # ---- # ~A 8 B=~~ Sum Pu Lavsto E'ector i et Water Softener ~~~~ ~~ ~t• 3=~ Drinkin Fountain Siak other ~/ w ~ -'2 0 e he ter Slo Sink e se T a Floor Drain Local Waste Laundry Tu Site Drain Dis osal Laundr Stand i e Dishwasher Catch Basin ** Violatien_n~+r.~ on ~e rwer~e side